OA - Student Symptom Check
Fill out form daily before you get to campus.
What is your temperature? **If your temperature is more is than 100.4 F, you may not be on campus.
Have you been exposed to someone with COVID-19 in the past 14 days?
Do you feel ill?
Do you have any of the following symptoms that are unexplained? (check all that apply)
Shortness of breath or difficulty breathing
Muscle or body aches
Congestion or runny nose
New loss of taste or smell
Vomiting (unidentified cause, unrelated to anxiety or eating
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.
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This form was created inside of Orangewood Academy.