HS 1327 Staff Daily Health Screener
All staff (Certificated/Classified/Coaches/Volunteers) must complete this form prior to entering any school building.  
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Email *
First Name *
Last Name *
What is your role?
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Are you experiencing any of the following symptoms? Persistent, unexplained cough ; Chills or fever measuring 100.4℉ or above ; Shortness of breath or difficulty breathing ; Unexplained or unusual headache, ; Diarrhea ; Nausea or vomiting ; Congestion or runny nose ; Sore throat *
Have you been exposed to a COVID-19 POSITIVE person? [Spent 15 mins or more within 6 feet (with or without a mask) or live in the same household as someone who tested positive for COVID-19 within the last 14 days]
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