PARENTS/GUARDIANS/STUDENTS MUST USE THIS QUESTIONNAIRE DAILY TO DECIDE IF
THE STUDENT SHOULD ATTEND SCHOOL
This tool is meant to be used to assist with assessing attendees who may be symptomatic, or who
may have been exposed to someone who is ill or has confirmed COVID-19.
Attendees should fill out this checklist prior to entering school daily. If an individual answers YES to any
of the questions, they must not be allowed to attend school. Children and youth will need a parent to
assist them to complete this screening tool.
As the COVID-19 pandemic continues to evolve, this screening tool will be updated as required.