Lakeside Health Questionnaire
Please fill out this form daily before your student comes on campus. If you have any COVID related questions, please contact our District POC 501-617-8607.
Student's First Name *
Student's Last Name *
Grade *
Have an unexplained cough, difficulty breathing, sore throat, or loss of taste or smell * *
Had contact with a person known to be infected with COVID-19 within the previous 14 days * *
Have had a fever of 100.4°F or greater in the last 48 hours * *
What is your temperature this morning? * *
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