Daily Health Screening Tool
For the summer program at Ardsley High School this will be used a health screening tool. The survey can also help you to communicate any concerns of Covid-19 or health and wellness with the nurse and administrator of the camp. I suggest that you secure a thermometer and set up a routine to complete this before stepping foot on campus. This MUST be completed prior to entering Ardsley High School each day.
If you have questions or a problem completing please inform your program's nurse, summer school administrator, AHS building principal, or superintendent.
What is Today's Date?
Student's Last Name
Student's first name
In the past 10 days have you: 1) had any symptoms of COVID-19? (Fever, chills, cough, shortness of breath/difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting/diarrhea). 2) been in contact with a positive COVID-19 individual, 3) had a temperature over 100 Degrees F.
No - Feeling Well
OPTIONAL - Please share any additional information or questions?
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This form was created inside of Ardsley Union Free School District.