COVID-19 Student Weekly Assessment

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* 1. Name
(In-addition family or siblings attending)

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* 2. This week's class day attending:

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* 3. Are you experiencing ANY cold, flu, or COVID symptoms? 

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* 4. Are you experiencing any of the specific symptoms below? 

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* 5. Have you traveled outside Canada or another province in the last 2 weeks?

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* 6. Have you had close contact with a confirmed covid case in the past 2 weeks?

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* 7. If your answer to #6 was Yes, have you been tested and received a negative result? 

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