SCB Covid-19 Screener/Tracking Form
Students Full Name
Have you had close contact with anyone with acute respiratory Illness?
Have you been tested for COVID-19 and are awaiting results?
Have you tested positive for COVID-19 in the last 20 days?
Have you TRAVELLED outside of Canada in the last 14 days?
In the past 14 days, have you had close, unprotected contact with any of the following: - a sick traveler or someone who travelled outside of Canada -a person with an acute respiratory illness -a person awaiting COVID-19 testing results -a suspected or confirmed case of COVID-19?
*Close, unprotected contact is defined as having provided care, had similar close physical contact, or had lived with or otherwise had close, prolonged contact without appropriate PPE. *Asymptomatic or Surveillance testing in one of your close contacts does not apply.
Does your child have any of the following symptoms: *
New onset of cough
Worsening chronic cough
Shortness of breath
Decrease or loss of sense of taste or smell
Unexplained fatigue/malaise/muscle aches
Pink Eye (conjunctivitis)
Runny nose/nasal congestion without other known cause
None of the above
Have you watched the above Protocol Video? Videos must be viewed prior to attending classes.
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