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Symptom Screening
Select family or visitor
Teacher / Staff
Visitor/Other
Allan
Aub
Bellingan
Bexiga
Bishun Nair
Brandt
Ender
Gunther
Langley
Lewis
Mavundla
van der Avoort
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Are you awaiting the result from a COVID – 19 test?
Yes
No
Have you come into contact with someone who has a laboratory confirmed COVID – 19 diagnosis in the past 14 days
Yes
No
Are you experiencing any of the followinging symptoms?
Yes - Fever or chills
Yes - Coughing
Yes - Shortness of breath or difficulty breathing
Yes - Body aches
Yes - Headaches
Yes - Loss of taste or smell
Yes - Sore throat
No - no symptoms
Learner: wearing a mask, and has a spare in bag OR Non-Learner: wearing a mask
Yes
No
Submit
AMBLESIDE SCHOOL OF DURBAN