covid-19 daily screening log covid-19 daily scree… · 11/05/2020 · covid-19 daily screening...

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COVID-19 Daily Screening Log DATE NAME TEMPERATURE <100.4°F COUGH NEW SHORTNESS OF BREATH ASKED TO GO HOME (Note Time Dismissed) Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No Yes No Yes No Yes, Time: No

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Page 1: COVID-19 Daily Screening Log COVID-19 Daily Scree… · 11/05/2020 · COVID-19 Daily Screening Log DATE NAME TEMPERATURE

COVID-19 Daily Screening Log

DATE NAME TEMPERATURE <100.4°F COUGH

NEW SHORTNESS OF

BREATH

ASKED TO GO HOME (Note Time Dismissed)

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

Yes No Yes No Yes, Time: No

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