Student Health Self-Screening for Deer Creek
Please complete this form EACH SCHOOL DAY after 6:45AM. Thank you!
Student Last Name
Student First Name
I understand the contents of the LISD District Student Health Protocol Section regarding Self Screening and that my student may be denied access to campus if my student does not complete or pass this screening before entering campus.
Indicate "Yes" if you are experiencing any of these symptoms that are not normal for you or check "No" if you are NOT experiencing the following symptoms: Feeling feverish or a measured temperature greater than or equal to 100.0 degrees Fahrenheit, loss of taste or smell, cough, difficulty breathing, shortness of breath, fatigue, headache, chills, sore throat, congestion or runny nose, shaking or exaggerated shivering, significant muscle pain or ache, diarrhea, nausea or vomiting. If you answer "yes" you cannot enter the school building.
Yes, I need to stay home
No, I am not experiencing any symptoms
I attest that I confidently answered "no" to all symptoms listed above and have a very low risk of carrying or spreading COVID-19.
Never submit passwords through Google Forms.
This form was created inside of Leanderisd.org.