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Discovery School Daily Health Screening
Remember this must be filled out Daily to ensure the health and safety of every family at Discovery School.
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* Indicates required question
Child's First Name
Your answer
Child's Last Name
Your answer
Does your student or anyone in the home have a fever of 100.0 or greater?
Yes
No
Clear selection
Has your child been diagnosed or in close contact with anyone diagnosed with Coronavirus (COVID-19) in the past 14 days?
Yes
No
Clear selection
Has your child or anyone in your home experienced any of these symptoms in the past 14 days?
Fever
Cough
Shortness of breath or difficulty breathing
Chills
Muscle Pain
Loss of taste or smell
Sore Throat
Diarrhea
NONE
Other:
Clear selection
I verify I've completed all of the screening questions. Please type your name here. (First & Last)
Your answer
Emergency Contact Number(S) for today?
*
Your answer
Who will be picking up your child today? Please list first and Last name.
*
Your answer
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