Morning Screening
Please complete the form below every morning before school by 7 am for every child. If your child(ren) answers yes to any of the questions below, please keep them and their siblings at home and call the office at 314-961-2891. If you do not complete this form every morning before school, your child(ren) will be kept out of class until the form is complete. Thank you for your help in keeping Mary Queen of Peace School safe!
* Required
Child's LAST Name
*
Your answer
Child's FIRST Name
*
Your answer
Grade
*
Pre K 3
Pre K 4
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Are you or any member of your household being tested for COVID-19 or awaiting COVID-19 test results?
*
Yes
No
A new cough
*
Yes
No
Shortness of breath or difficulty breathing
*
Yes
No
Fatigue
*
Yes
No
Muscle or body aches
*
Yes
No
Headache
*
Yes
No
New loss of taste or smell
*
Yes
No
Sore throat
*
Yes
No
Congestion or runny nose
*
Yes
No
Nausea or vomiting
*
Yes
No
Diarrhea
*
Yes
No
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