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