Health Screen For Children
| 1. Does your child have a fever or have they felt hot or feverish in the past 14-21 days? |
| 2. Is your child having shortness of breath or other difficulties breathing? |
| 3. Does your child have a cough? |
| 4. Does your child have any orther flu-like symptom like gastrointestinal upset, headaches, or fatigue? |
| 5. Has your child experienced any recent lost of taste or smell? |
| 6. Have you or your child been in contact with any COVID-19 positive patients? |
| 7. Does your child have heart disease, lung disease, kidney disease, diabetes, or any auto-immune disorders? |
| 8. Have you or your child traveled to any regions heavily affected by COVID-19? |
Notes:
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