COVID Screening

CARR PREPARATORY ACADEMY
Each Endeavoring. All Achieving.

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How We Go Back to School
COVID-19 Screening Questionnaire (Virtual Week (1/18-1/21) Return to School)

Student Name*

Screening Questionnaire

With the rise in recent COVID-19 cases, we ask that you answer these questions before returning to school on Monday, January 24, 2022. We thank all our families in advance for being responsible and considerate when it comes to minimizing the spread of illnesses.

Does your child have a fever (temperature over 100.4F/38C degrees) without having taken any fever-reducing medications?Does your child have loss of smell or taste?Does your child have a cough?Does your child have a sore throat?Does your child have congestion or a runny nose?Does your child have shortness of breath?Does your child have chills?Does your child have a headache?Has your child experienced any new gastrointestinal symptoms such as nausea, vomiting, diarrhea, or loss of appetite in the last few days?Has your child, or anyone your family has been in close contact with, been diagnosed with COVID-19 or placed in quarantine for possible exposure to COVID-19 within the last two weeks?Has your child or anyone your family has been in close contact with been asked to self-isolate or quarantine by a medical professional or a local public health official in the last two weeks?

If you checked yes for any of the questions above, please continue to answer the following questions. If no boxes are checked, please scroll down, eSign, and submit.

When was the first day of symptoms?

Has your child been tested for COVID-19?

YESNO

Was the test Positive or Negative?

PositiveNegative

On what date did you receive the results?

Parent/Guardian Email Address*

eSignature*

Please type your name to confirm you have answered these questions to the best of your knowledge.

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According to the new CDC Guidelines, those who test positive for COVID-19 are now only required to quarantine for 5 days from the onset of symptoms. If your child first presented with symptoms on or before January 18, 2022, your child is cleared to return to school on Monday, January 24, 2022. Thank you! We look forward to seeing our students back at school.

CARR PREPARATORY ACADEMYEach Endeavoring. All Achieving.​​

How We Go Back to SchoolCOVID-19 Screening Questionnaire (Virtual Week (1/18-1/21) Return to School)

CARR PREPARATORY ACADEMY
Each Endeavoring. All Achieving.

How We Go Back to School
COVID-19 Screening Questionnaire (Virtual Week (1/18-1/21) Return to School)