COVID 19 Staff Screening
Please complete this screening tool daily before entering the building to work.
If you answer "YES" to either of these questions please do not report to work and notify the health office @
healthoffice@lakeview2167.com
.
If school is in session make sure you put in for a substitute as needed.
* Required
Staff Name
*
Your answer
Have you had contact with someone who has tested positive or believes they may be positive for COVID-19 in the last 14 days?
*
Yes
No
Have you had at least one of the following more common symptoms of COVID-19? Fever greater than or equal to 100.4, new onset and/or worsening cough, difficulty breathing, new loss of taste or smell?
*
Yes
No
Have you had at least two or more of the following less common symptoms of COVID-19? Sore throat, nausea, vomiting, diarrhea, chills, muscle pain, excessive fatigue, new onset of severe headache, new onset of nasal congestion or runny nose?
*
Yes
No
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