Muppets Preschool

Thank you for taking the time to complete the survey.

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Does the child have any of the following symptoms: fever, cough, difficulty breathing, loss of taste or smell, sore throat, trouble or pain swallowing, stuffy or runny nose, sore muscles. headache, muscle aches, extreme tiredness, nausea, vomiting or diarrhea? *

Yes No

Child(ren) Name(s) *

Has your child been in close contact with someone who confirmed COVID-19 in the past 14 days or has anyone in the household travelled outside of Canada? *

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.

Is there a sibling or other member in your household who has one or more of the symptoms listed above? Has anyone in your house hold been told to stay home and self isolate? *

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Welcome to Muppets Preschool Centre's Daily Screening Survey

Thank you for taking the time to complete the survey.