COVID-19 Questionnaire - Weekly Screener
Please complete this mandatory questionnaire by Monday at 12:00PM each week.
Child's First Name:
Child's Last Name:
My child's building is:
Jamesville DeWitt High School
Jamesville DeWitt Middle School
Moses DeWitt Elementary
Has your child...been in contact in the past 14 days with someone who has tested positive for COVID-19? Been notified by your medical provider or a local government official to remain home because of COVID-19 in the past 14 days? Tested positive for COVID-19 in the past 14 days? Had a fever of 100.0 or greater now or in the past 14 days?
No to all of these questions
Yes to one or more of these questions
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This form was created inside of Jamesville DeWitt Central School District.