Roslyn Covid-19 Questionnaire
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Guardian Name:
First Name
Last Name
Location
Administration
Buildings And Grounds
East Hills
Harbor Hill
Heights
High School
Middle School
Transportation
Summer School
have not traveled internationally in the last two weeks.
Temperature
For those who have NOT had the COVID-19 vaccine in the past 48 hours
Have you had any symptoms
associated with COVID-19
in the past 10 days, such as: fever, cough, shortness of breath/difficulty breathing, chills/muscle pain, loss of taste/smell, sore throat, headache, diarrhea, nausea or vomiting?
Have you or someone in your immediate household come into direct contact with someone who tested positive with COVID-19 without personal protective equipment within the past 14 days?
Have you tested positive for COVID-19 in the past 14 days?
×
Entry is NOT Permitted
×
Allowed Entry
×
Data Error