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As we continue to adapt to the COVID-19 pandemic, the health and safety of our school district community remains our top priority.
To ensure the health and safety of our school district community, it is paramount that authorized personnel at East Aurora UFSD receive the most accurate health-related information from our employees.
In order to facilitate this process, we kindly ask for you to fill out these COVID-19 Screening Questions as accurately as possible.
Once you complete the questions, please click "Submit" at the bottom.
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| *Contact Type: |
**Contact Type is Required**
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| Contact ID: |
(optional) |
| *First Name: |
**First Name is Required** |
| *Last Name: |
**Last Name is Required** |
| *Phone Number: |
**Phone Number is Required** |
| *Email: |
**Email is Required**
**Valid Email Address is Required**
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| *Confirmation Email: |
**Confirmation Email is Required**
**Emails Must Match**
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| *School: |
**School is Required**
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Do you have any of the following symptoms:
- Since they were last in school - including this morning - has your child's temperature been 100.0 F or higher?
- Since they were last in school - including this morning - has your child or anyone in their immediate household experienced any COVID-19 or flu-like symptoms such as (fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, nasal congestion or runny nose, nausea, vomiting, or diarrhea)?
- Has your child or anyone in their immediate household tested positive through a diagnostic test for COVID-19 in the past 10 days or are they currently COVID-19 test results?
- Has your child knowingly been in close or immediate contact with anyone in the past 10 days who has tested positive through a diagnostic test for COVID-19 or who is currently COVID-19 test results?
- In the last 10 days has your child traveled out of the country and/or is your child under a travel-related quarantine? (If you are unsure whether your child’s travel requires your child to quarantine, please answer "Yes".)
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Are you experiencing any of the symptoms or scenarios above?
**Question Must Be Answered!**
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