Student COVID-19 Symptom Self Check
Symptom self checks are required by all persons before entering school locations every day. Please answer the questions below.
Most Common Symptoms of COVID-19:
cough, shortness of breath or difficulty breathing, fever (100.4 F / 38 C or greater regardless of measurement location - oral, temporal), chills, sore throat, new loss of taste or smell
Less Common Symptoms:
muscle pain, nausea or vomiting, stomach pain, diarrhea, fatigue, headache, rash, swelling or redness of hands/feet, red eyes/eye drainage, congestion/runny nose
Stay home with any YES response to the questions below OR with two or more of the "less common" symptoms.
Student ID number
Supplied with the email sent to you.
Student First Name
Student Last Name
Also stay home with any YES response to the questions below:
Within the past 24 hours have you had a fever (100.4F / 38C and above*) or used any fever reducing medicine?
*Fever is 100.4F/ 38C regardless of measurement location (oral, temporal).
Do you feel sick with any of the most common symptoms of COVID, had vomiting/diarrhea, or felt unwell?
Most Common Symptoms of COVID-19:cough, shortness of breath or difficulty breathing, fever (100.4F / 38C or greater regardless of measurement location - oral, temporal), chills, sore throat, new loss of taste or smell.
Have you been in close contact with a person who has COVID-19 in the past 14 days?
Please contact your school if you answer yes to the question below:
Have you traveled outside of the state of Maine in the past 14 days (excluding NH, VT, CT, NJ, NY)?
IF YOU ANSWERED 'YES' TO ANY OF THE ABOVE QUESTIONS, PLEASE STAY HOME FROM SCHOOL AND CONTACT THE SCHOOL NURSE OR OTHER HEALTH CARE PROVIDER IF YOU HAVE QUESTIONS.
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This form was created inside of Regional School Unit No.5.