OA - Student Symptom Check
Fill out form daily before you get to campus.
First Name *
Last Name *
Grade Level *
Phone Number *
What is your temperature? **If your temperature is more is than 100.4 F, you may not be on campus. *
0 points
Have you been exposed to someone with COVID-19 in the past 14 days? *
0 points
Do you feel ill? *
0 points
Do you have any of the following symptoms that are unexplained? (check all that apply) *
1 point
Type your full name below to accept the following statement: I, ___________________, attest that the answers above are accurate to the best of my knowledge. I confirm that I have not been exposed to anyone with COVID-19 in the past 14 days. *
1 point
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