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  • CDC Mandatory Health Questionnaire

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  • Please read the following statements and select your response from the drop down below.

    • Do you have a fever?  ¿Tienes fiebre?
    • Do you have any respiratory symptoms? (coughing, sneezing, difficulty breathing?)  ¿Tienes síntomas respiratorio?
    • Have you traveled out of the country or visited a state on the travel advisory list in the last 14 days? (not including NY and PA)  ¿Ha viajado fuera del país o ha visitado un estado en la lista de avisos de viaje en los últimos 14 días?
      • Click here to view states on the travel advisory list.
  • The school nurse will receive an email for further evaluation if response of “Yes” to any of these questions are selected.

  • Please make sure you also check your Spam or Junk mail for confirmation after submission.

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