Oxford Community Schools

Health Questionnaire

The safety of our employees, students, families, and contractors remain Oxford Community Schools' overriding priority. To prevent the spread of COVID-19 and reduce the potential risk of exposure to our communitiy we are conducting a simple screening questionnaire.

Your participation is important to help us take precautionary measures to protect you and everyone in our buildings. Thank you for your time!

Visitor Information

*Full Name

*Visitor Type

*Location

Cell Phone Please enter phone number only, formatting will apply automatically.

*Self-Declaration (All answers required.)

Within the past 14 days, have you traveled internationally to a country identified by the CDC as at-risk?

Within the past 14 days, have you had close contact with anyone diagnosed with COVID-19?

Within the past 14 days, have you experienced any cold or flu-like symptoms (fever, cough, shortness of breath)?