GL Pod CSD COVID-19 Health Screening Form
Complete this form each day prior to dropping your child off at their pod for each child. Be sure to use the form dedicated to your child's pod. You can save this link as a bookmark or to your phone's home screen for easy access each morning.
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Student First and Last Name *
Does your child have a fever or chills, new cough, shortness of breath, difficulty breathing, fatigue, muscle pain or body aches, headache, sore throat, diarrhea, nausea of vomiting, or new loss of taste or smell? **OR** Do you believe they have COVID-19 despite not having any of these symptoms? * *
"Fever" is determined by a thermometer reading 100º or higher or by subjective signs such as flushed cheeks, fatigue, extreme fussiness, chills, shivering, sweating, achiness, headache, not eating or drinking.
Low Risk General Symptoms: Two or more = the child should stay home (1) Fatigue (2) Muscle or body aches (3) Headache (4) Sore throat (5) Congestion or runny nose (6) Nausea or vomiting (7) Diarrhea.      As parents screen their children at home each day, they must also monitor their child for symptoms of flu and other illnesses. Parents must keep their child home if the child is showing signs of other illnesses. *
"Fever" is determined by a thermometer reading 100º or higher or by subjective signs such as flushed cheeks, fatigue, extreme fussiness, chills, shivering, sweating, achiness, headache, not eating or drinking.
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