Report a Positive COVID-19 case ANYTIME Question Title * 1. This is to. confirm that you are indeed reporting a postive COVID-19 case to the Ardsley school district. If you answer "No", please do not complete the survey. Yes No Question Title * 2. The positive COVID individual is a student at Concord Road School (CRS) an employee at CRS a student at Ardsley Middle School an employee at AMS a student at Ardsley High School an employee at AHS an employee at Central Office or a District Employee an employee or Ardsley student associated with the Ardsley School District Question Title * 3. First Name of Individual Question Title * 4. Last Name of Individual Question Title * 5. Date of Birth (DOB) of individual Question Title * 6. When was the test taken (Date and Approx. Time) Question Title * 7. Was there any symptoms of COVID at all leading up to taking the COVID test? Yes No Unsure/Somewhat Question Title * 8. If Yes or Unsure/Somewhat in Q8 please further explain: Question Title * 9. What was the last date on the Ardsley campus Question Title * 10. AFTER YOU SUBMIT THIS SURVEY YOU WILL RECEIVE A REPLY EMAIL - PLEASE CALL PHONE NUMBERS ON THE LIST UNTIL YOU DIRECTLY TALK WITH SOMEONE. This will allow us to act quickly and support you and your family during this time. OPTIONAL - Add any additional pertinent information below.you for completing this survey. The information will be CONFIDENTIAL and only used to assist the Westchester Department of Health in their and our contact tracing efforts. Done