Daily Screening
COVID-19 symptoms
First Name *
Last Name *
Grade *
Are you experiencing any of the following symptoms? Cough, shortness of breath or difficulty breathing, fever, chills, muscle pain, sore throat, new loss of taste or smell. (This list is not all possible symptoms. Other less common symptoms have been reported, including gastrointestinal symptoms like nausea, vomiting, or diarrhea.) *
Have you had close contact with a confirmed or suspected COVID-19 case in the last 14 days? *
Have you had a positive COVID-19 test in the last 14 days? *
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