If your non-quarantined child is attending Siblings and Company today, please complete this survey. 

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* 1. Today's Date

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* 2. Provide names and morning temps.

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* 3. Has anyone in the household started to develop any of the following symptoms? If yes, the attending child must stay home as well. 

fever or chillls
cough
shortness of breath
fatigue 
muscle or body aches
headache
new loss of taste or smell 
sore throat
congestion or runny nose
nausea or vomiting 
diarrhea

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* 4. I understand that these extra measures are in place to keep exposure as low as possible. 

Name of family member completing daily survey: 

0 of 4 answered
 

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