CHS Student Daily Health Assessment
Email address *
Dear Connetquot Parent/Guardian:
The New York State Department of Health requires that the District implement a mandatory health screening questionnaire to assist in the efforts of preventing the transmittal of COVID-19 before a student begins class each day. To that end, prior to the start of each school day, students will be required to undergo home-administered temperature checks and the Health Screening Assessment Questionnaire below.
Email address *
Student's First Name
Student's Last Name
Please select your grade *
1. Knowingly been in close or proximate contact in the past 14 days with anyone who has tested positive through a diagnostic test for COVID-19 or who has or had symptoms of COVID-19; *
25 points
2. Tested positive through a diagnostic test for COVID-19 in the past 14 days; *
25 points
3. Has experienced any symptoms of COVID-19, including a temperature of greater than 100.0°F, in the past 14 days; and/or *
25 points
4. Has traveled internationally or from a state with widespread community transmission of COVID-19 per the New York State Travel Advisory in the past 14 days. *
25 points
Should you report positively to any of the above criteria, you will not be permitted access to school and will be referred to your private healthcare provider for assessment and testing.
Yours truly,
Gail E. Santo
Director of Pupil Personnel Services
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