Visitor Wellness Questionnaire
Systematic reporting is paramount for the safety and well-being of all students, faculty, and staff. Please take the time to answer these questions carefully and accurately before you visit Japhet School.
Your first and last name: *
The mask you are wearing today has been sterilized since its last use, or is a brand-new mask. *
What was your temperature this morning? Answer digitally as XX.X
Do you have any of these new, unexplained symptoms? If you answer YES to any of these questions, please reschedule your visit. *
No
Yes
Cough
Shortness of breath
Sore throat
Loss of taste or smell
Diarrhea
Nausea
Vomiting
Rash
Congestion
Have you or anyone in your immediate household been exposed to someone diagnosed with COVID-19 in the last 14 days? If the answer is YES, please reschedule your visit. *
Submit
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