Health Questionnaire Regarding Covid-19

Health Questionnaire Regarding Covid-19

Updated Fall 2021
Following CDC recommendations, we ask that students and families continue to practice daily health screenings, physical distancing, handwashing and respiratory etiquette, and maintaining our clean environment by disinfecting personal areas.  Students are to complete the questionnaire daily before attending class. 

Guilford County is currently requiring masks for all individuals in public facilities and businesses.  We will work individually with our groups and families to determine the best course concerning masking during physical activity in order to keep everyone safe.  As students are able to maintain physical distancing, and spreadout in the larger spaces and/or outdoor spaces, we may determine that masks are optional for groups and/or individuals.  We will communicate any shifts of policy before a change is made concerning your student.

Please answer the following questions below:

*
*
*

High Risk Symptoms for COVID-19 include:

  • Shortness of breath/labored breathing
  • Loss of sense of taste or smell
  • New or worsening cough (a change from baseline) 
Low Risk Symptoms for COVID-19 include:
  • Nausea, vomiting, or diarrhea
  • New onset of severe headaches
  • Sore throat
  • Fever/Chills
  • Fatique
  • Nasal congestion/drainage (change from baseline)
  • Muscle aches

  •  
  •  
*

  •  
  •  
*

  •  
  •