COVID-19 Screening for Preschool Building
(based on guidance from the CDC as of Sept 14, 2020 and Illinois SBE as of October 23, 2020)
This screening tool is one of several measures UABC is taking to ensure a healthy setting for our students, employees, guests, and their families. Thank you for completing this questionnaire for the sake of others.
Name *
Which of the following symptoms have you experienced in the past 2 weeks OR since your last screening for this building? *
Have you been diagnosed with COVID-19, OR are you waiting for COVID-19 test results? *
Have you been in close contact with someone who has tested positive for COVID-19, who is waiting for COVID-19 test results, or who is exhibiting COVID-19-like symptoms? *
If you answered YES or MAYBE to any of the above questions, please explain.
What was your most recent temperature reading? And, when was it taken? (If you do not have a thermometer, someone can take your temperature at the building's entrance.)
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