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. Are there any symptoms of illness now? Yes No Question Title * 10. Can you please share the individual's vaccination status? Not vaccinated One vaccination shot Two Vaccination shots Two vaccination shots and a Booster Question Title * 11. What was the last date on the Ardsley campus Question Title * 12. PLEASE TAKE TIME TO READ THE FOLLWING AND ACT ACCORDINGLY.1) Basic Directions for A Positive Individual:A) Initially isolate the positive individual. B) Consider when symptoms occurred or the positive test was taken. C) Then look back 48 hours from whichever happened first. ie symptoms on a Sun. at 10 am and tested pos. later on in the day. Look back from Sun. at 10am to Sat and Friday. D) Inform anyone who was within 6' for 15 mins or longer during that window of contagion. Note - Unvaccinated would quarantine and vaccinated if no symptoms mask and monitor. At present, there is a 10-day isolation/quarantine period based on the above with a return to school on day 11 per WCDoH.2) AFTER YOU SUBMIT THIS SURVEY YOU WILL RECEIVE A REPLY EMAIL with phone numbers -You can call leave a voice message for the nurses that they'all access at work. If you need more immediate guidance call, Superintendent Schoenfeld (914) 355-1576. This will allow us to act quickly and support you and your family during this time. 3) OPTIONAL - Add any additional pertinent information below. Thank 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