JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Comunicación de caso Cóvid 2022/2023
Sign in to Google
to save your progress.
Learn more
Apellidos y Nombre del alumno/a
Your answer
Curso/Grupo (Ejemplo: 3º ESO B o 1º CAE A)
Your answer
Nombre Padre/Madre/Tutor legal
Your answer
Teléfono Padre/Madre/Tutor legal
Your answer
Se trata de un caso...
SOSPECHOSO
CONFIRMADO
Clear selection
El afectado es...
El alumno/a
Conviviente con el alumno/a
Other:
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of IES Severo Ochoa.
Report Abuse
Forms
