WCCS COVID-19 Screening Form
This Assessment must be completed every day prior to entering the Westminster Community Charter School.  
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Remember to Mask up with Pride!
Name: *
1.  Have you experienced symptoms of COVID-19 such as fever (temperature of 100°F or above) or chills, muscle or body aches, cough, shortness of breath or difficultybreathing, fatigue, headache, sore throat, nasal congestion or runny nose, nausea orvomiting, diarrhea, or new loss of taste and/or smell in the past 10 days?  Please answer “yes” only if you are experiencing a new onset of symptoms OR you are experiencing a change in symptoms from your baseline if you have a known preexisting medical condition (e.g. asthma, allergies). *
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