GNCS Daily Health Questionnaire

Please complete this short checklist completely each morning before you leave for school. If you answered 'yes' to any of the four questions contact Judy Teel at 847.724.0057 and report to her each child’s exact symptoms or status (If Judy is out or does not answer, please leave a message). The main office opens at 7:30 am, and your calls will be returned as soon as possible. One form per family.

Personal responsibility is key. We trust that our families are conducting themselves in a safe manner and practicing social distancing when necessary. Your cooperation in keeping our school safe is appreciated.

List your child(ren)'s name(s): *
Do any of your children who attend GNCS have 1 of the following symptoms: fever (100.4 or greater), sore throat, runny nose, chills, muscle pain, nausea/vomiting, headache, diarrhea, new or persistent cough, new lack of smell or taste, shortness of breath, or difficulty breathing? *
Required
In the past 14 days, were any of your children who attend GNCS diagnosed with COVID-19 or have any of those children had close contact (closer than 6 ft. for 15 min. or longer) with someone who is currently sick with suspected or confirmed COVID-19? *
Required
In the past 14 days, have any of your children who attend GNCS traveled (longer than 24 hours) to any of the states with high incidence of COVID-19?* Please use this website for an up-to-date list of restricted states. https://cookcountypublichealth.org/communicable-diseases/covid-19/covid-19-travel-guidance/ * As defined by the Cook County Department of Public Health. *
Required
Do any of your household members have 1 of the following symptoms: fever (100.4 or greater), sore throat, runny nose, chills, muscle pain, nausea/vomiting, headache, diarrhea, new or persistent cough, new lack of smell or taste, shortness of breath, or difficulty breathing? *
Required
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