Muppets Children's Centres

Thank you for taking the time to complete the survey

* Indicates required field

Does your child have any of the following symptoms: fever/feverish, new/existing cough, difficulty breathing, sore throat, trouble swallowing, runny nose, red eyes, loss of taste or smell, sore muscles, nausea, vomiting, diarrhea? *

Yes No

Child(ren) Name(s) *

Has your child been in close contact with someone who is sick or has confirmed COVID-19 case in the past 14 days? *

Yes No

Has your child been given fever reducing medication in the last 24 hours? *

Yes No

Please note: Our educators will perform a temperature check upon arrival from school.

Submit

Welcome to Muppets Children's Centre's Daily Screening Survey

Thank you for taking the time to complete the survey