Daily Health Check (Parents/Guardian) Please fill out the Daily Health Check for parent/guardian who may drop-off or pick-up your child. ← BackThank you for your response. ✨ Your Child’s Name(required) Name of the person who may drop-off / pick-up(required) Please select Yes or No if you have experienced any symptoms below last 48 hours. Fever?(required) Yes No Cough?(required) Yes No Loss of sense of smell or taste?(required) Yes No Difficultly breathing?(required) Yes No Sore throat?(required) Yes No Loss of apetite?(required) Yes No Extreme fatigue or tiredness (required) Yes No Headache?(required) Yes No Body aches?(required) Yes No Nausea or vomitting?(required) Yes No Diarrhea?(required) Yes No Feel sick?(required) Yes No Have you traveled by airplane last 14 days?(required) Yes No Have you contacted covid-19 cases last 14 days?(required) Yes No Have you contacted anyone who is waiting for the covid-19 result last 14 days?(required) Yes No Please describe if any of answer above was Yes Has you taken any medication last 72 hours? (required) Yes No Please describe the detail if Yes Any other specific condition that we should know Submit Δ Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Like Loading...