Eldred Employee COVID-19 Building Entrance Screening Questionnaire
This screening questionnaire is part of the re-opening process for school districts. Please complete this EACH day that you are required to report to work.

Thank you for your cooperation and assistance.
Email address *
First Name *
Last Name *
Time In
Time
:
Time Out
Time
:
Destination (s) Please check all that apply *
Required
If you check "yes" to any of these questions you are NOT permitted to report to work or enter any facility. Please contact the building principal for further instructions at (845) 456-1100.
Do you feel feverish or have any symptoms known to be associated with COVID-19 in the past 14 days including a temperature of 100.0 degrees Fahrenheit or greater? *
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