Covid-19 Parent/Guardian Daily Questionnaire
Due to the Covid-19 pandemic, parents/guardians of Eden Central School students must fill out the form below. This form must be done every school day, both for students learning in school and remote learners. If at any point you answer yes to any question on the survey, please contact your building nurse and stay home. The district will keep your daily response on file until further notice. Thank you for complying with these guidelines.
Please read the questions below and answer yes or no if any of these apply to you.
1. In the last 14 days, have you traveled outside of the U.S. or to any of the identified States with a high rate of infection?
2. Are you currently experiencing any flu-like symptoms, including: sore throat, dry cough, fever, shortness of breath, and/or tiredness that cannot be attributed to pre-existing health conditions or allergies?
3. Have you been exposed to someone who is in quarantine for exposure to COVID-19 or is suspected of carrying the COVID-19 virus?
4. When taking your child’s temperature today, was it 100.0 or higher?
Please enter the student USER NAME for the student this form is for (Student USER Name can be found in Parent Portal)
Please answer yes or no if any of the questions listed above apply to you and/or your student
Yes - please contact your building nurse and stay home - my child is ABSENT today
Yes - please contact your building nurse and stay home - my child is PRESENT today and will be REMOTE LEARNING today
No - Thank you - we will see you at SCHOOL
No - Thank you - my child will be REMOTE LEARNING today
No - My child is ABSENT today for reasons unrelated to COVID19 and will not be attending in person or remote learning
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Eden Central School District.