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COVID-19 Self-Screening Form

Please select today's date.

Initial Screening Questions

Please read the COVID-19 self-screening questions below.

If you answered NO to all of the above COVID-19 self-screening questions, the child can attend pre-school today. If you answered YES to any of the above questions, you CANNOT attend and should stay home, notify us at, and use the AHS Online Assessment Tool ( to determine if testing is recommended. Please confirm your response below: