St. Patrick School Health Check-In
Daily screening is required for entry to St. Patrick School for all Staff and Students.
* Required
Last name
*
Your answer
Student 1
*
Your answer
Please check if you have any of these symptoms:
*
Temperature of 100.4 or above
Fever or chills
Cough/Runny Nose/Shortness of breath or difficulty breathing
Fatigue/Muscle or body aches
Sore throat/New loss of taste or smell
Nausea or vomiting/Diarrhea
No Symptoms
Required
In the last week, has your child been exposed to a person with COVID symptoms or a positive test result, traveled or had a guest 150 miles outside your county, participated in unsanctioned or unregulated group activities or sports, and/or attended an outdoor event with more than 12 people or an indoor event with more than your family cohort?
*
Yes
No
Student 2
Your answer
Please check if you have any of these symptoms:
Temperature of 100.4 or above
Fever or chills
Cough/Runny Nose/Shortness of breath or difficulty breathing
Fatigue/Muscle or body aches
Sore throat/New loss of taste or smell
Nausea or vomiting/Diarrhea
No Symptoms
In the last week, has your child been exposed to a person with COVID symptoms or a positive test result, traveled or had a guest 150 miles outside your county, participated in unsanctioned or unregulated group activities or sports, and/or attended an outdoor event with more than 12 people or an indoor event with more than your family cohort?
Yes
No
Clear selection
Student 3
Your answer
Please check if you have any of these symptoms:
Temperature of 100.4 or above
Fever or chills
Cough/Runny Nose/Shortness of breath or difficulty breathing
Fatigue/Muscle or body aches
Sore throat/New loss of taste or smell
Nausea or vomiting/Diarrhea
No Symptoms
In the last week, has your child been exposed to a person with COVID symptoms or a positive test result, traveled or had a guest 150 miles outside your county, participated in unsanctioned or unregulated group activities or sports, and/or attended an outdoor event with more than 12 people or an indoor event with more than your family cohort?
Yes
No
Clear selection
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