COVID-19 Screening Attestation

The health and safety of the Syosset School District’s students, staff, employees, and visitors remains our top priority. 

To minimize the risk of exposure and spread of COVID-19 we are asking that each individual complete this brief, COVID-19 Daily Health Screening questionnaire.  This questionnaire must be completed each day and prior to entering a building or facility.  If you respond “yes” to any of the questions, do not report to your school or enter any Syosset school building or facility!  Immediately contact your administrator/supervisor for further instructions and your health care provider for a health assessment and testing. 

As the COVID-19 outbreak continues, we are closely monitoring the situation and will periodically update our guidance based on current recommendations from the CDC, New York State, and our team of medical professionals.

The CDC's COVID-19 recommended Health and Safety Protocols and Practices. Reference: https://www.syossetschools.org/Page/841

Screening Questions

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  1. Since your last day of work, or last visit here, have you had any of these possible COVID-19 symptoms to a greater intensity, or level of concern, than what you might normally experience?
    • Cough
    • Shortness of breath or difficulty breathing
    • Fever (a temperature of 100.0°F or greater)
    • Chills
    • Repeated shaking with chills
    • Muscle pain
    • Headache
    • Sore throat
    • New loss of taste or smell
    • Diarrhea
    • Nausea or vomiting
    • Fatigue
    • Congestion or runny nose
  2. Have you had a positive COVID-19 viral (nasal swab) test within the last 10 days?

  3. Are you awaiting the results of your COVID-19 test?

  4. Have you had close contact with anyone with a confirmed or suspected (i.e., a person awaiting test results) case of COVID-19 within the last 10 days?
  5. Have you FAILED to complete one of the following protocols after traveling to or from any of the New York State quarantined states or countries within the last 10 days, and for a duration longer than 24 hours?

    1. Travelers must, upon arrival in New York, quarantine for 10 days.

    OR

    2. Travelers must take a COVID test within three days of departure for NY, and again on the 4th day of their quarantine in NY.  If both tests come back negative, the traveler may exit quarantine upon receipt of the second negative diagnostic test.

    (note, travel from contiguous states is exempt from these requirements):
    https://coronavirus.health.ny.gov/covid-19-travel-advisory#restricted-states




Parent/Guardian: If filling out this form on behalf of a student, please provide the student's first and last name.
Valid first name is required.
Valid last name is required.
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Please enter a valid phone number for location access.