COVID Health Form
Please complete the following form every morning you are on campus.
* Required
Email address
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Grade
*
Choose
9
10
11
12
Staff/Faculty
Have you had a fever above 100.8 in the last 24 hours?
*
Choose
Yes
No
Are you exhibiting any of these symptoms? Fever, chills, shortness of breath, difficulty breathing, worsening cough, sore throat, diarrhea, nausea, vomiting, headache or loss of taste or smell.
*
Choose
Yes
No
Is anyone in your household experiencing any of these symptoms? Fever, chills, shortness of breath, difficulty breathing, worsening cough, sore throat, diarrhea, nausea, vomiting, headache or loss of taste or smell
*
Choose
Yes
No
Have you been in close contact in the last 14 days with someone diagnosed with COVID-19?
*
Choose
Yes
No
Submit
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