COVID Questionnaire

COVID Questionnaire
Does your child currently or have they had a fever or felt feverishly within the last 14-21 days? *
Does your child have a cough? *
Has your child had any shortness of breath or any other difficulties breathing? *
Has your child had any other flu-like symptoms, such as upset stomach, headache or tiredness? *
Has your child had any recent loss of taste or smell? *
Have you or your child been in contact with anyone who has tested positive for COVID-19? *
Does your child have heart disease, lung disease, kidney disease, diabetes, or auto-immune? *