COVID-19 Daily Survey
All staff that enter any school building must complete the survey below EACH DAY.  Only non-district employees are required to respond to question #3.  The survey can be completed by logging into the link on a computer or iPad or connecting to the QR code on a cellular telephone or iPad.  The results of the survey will be kept confidential.  In addition, staff are encouraged to check their own temperature at home before leaving for work.  Anyone experiencing symptoms or a fever should not report to work.  Anyone who has been exposed to a person suspected of or diagnosed with COVID-19 will likely be asked to remain out of work for the 14 day quarantine period.  In certain situations, staff may be asked to provide a note medically clearing them to return to work.

FOR INDIVIDUALS WITH LOCKPORTSCHOOLS.NET EMAIL ADDRESSES - YOU MUST USE THIS EMAIL ADDRESS TO RESPOND TO THIS SURVEY.  IF YOU DO NOT DO THIS YOU MAY RECEIVE AN EMAIL FROM ME INDICATING THAT YOU DID NOT COMPLETE THE SURVEY.  WE USE A COMPARISON OF EMAIL ADDRESSES TO CONFIRM STAFF COMPLETION.  THANK YOU!

PLEASE COMPLETE THE SURVEY BY 10:15 AM EACH DAY.
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First Name *
Last Name *
FOR NON-DISTRICT EMPLOYEES ONLY: Telephone Number
Building you are entering *
Do you currently have any of the following symptoms -fever, cough, fatigue, muscle or body ache, headache, runny nose/congestion, shortness of breath, sore throat, recent loss of taste, recent loss of smell, and/or nausea/vomiting/diarrhea? *
If you answered yes to 'currently having any of the symptoms' listed in the question above, please explain.
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