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COVID-19 DAILY SELF- CHECKLIST
Review this COVID-19 Daily Self-Checklist While at School. Monitoring symptoms is another important preventive strategy for COVID-19. If you reply
YES
to any of the questions below, you must notify your teacher.
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Name:
*
Your answer
Grade:
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Your answer
1. Do you have a fever (temperature over 100.3 °F without having taken any fever-reducing medications?
*
YES
NO
2. Do you have a loss of smell?
*
YES
NO
3. Do you have a cough?
*
YES
NO
4. Do you have a muscle ache?
*
YES
NO
5. Do you have a sore throat?
*
YES
NO
6. Do you have a congestion or a runny nose
*
YES
NO
7. Do you have shortness of breath?
*
YES
NO
8. Do you have chills?
*
YES
NO
9. Have you experienced any new gastrointestinal symptoms such as nausea, vomiting, diarrhea, or loss of appetite in the last few days?
*
YES
NO
10. Have you, or anyone you have been in close contact with, been diagnosed with COVID-19 or placed or placed in quarantine for possible exposure to COVID-19 within the last two weeks?
*
YES
NO
11. Have you been asked to self-isolate or quarantine by a medical professional or a local public health official in the last 48 hours?
*
YES
NO
A copy of your responses will be emailed to the address you provided.
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