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Welcome to the Student Health Survey
Note: This Survey is open daily
between 5:30 AM and 7:30 AM
. If you visit this page outside those hours, the Survey will not be visible.
Date
*
MM slash DD slash YYYY
Child Name
*
First
Last
What school does this child attend?
*
Preschool
Elementary
Secondary
What is the child's home classroom or department?
*
Infants
Toddlers
Preschool
What Grade is the child in?
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Who is the Kindergarten homeroom teacher?
*
Hutchins, Hollee
Wade, Linda
Who is the your child's 1st Grade homeroom teacher?
*
Christenson, Emily
Tourjee, Shirley
Who is your child's 2nd Grade homeroom teacher?
*
Kuster, Amanda
Savage, Shanti
Yokeum, Danene
Who is your child's 3rd Grade homeroom teacher?
*
Lowe, Angela
Russell, Casey
Who is your child's 4th Grade homeroom teacher?
*
Hanson, Ellen
Who is your child's 5th Grade homeroom teacher?
*
Jones, Sandy
Lein, Kathryn
Werner, Lucas
Who is your child's 6th Grade homeroom teacher?
*
Barry, Jennifer
Smith, Glenn
Temperature of Child?
Does the child have a fever of 100.4°F or higher?
*
Yes
No
Hidden
Does the child have a fever of 100.4°F or higher?
*
Select Yes or No if you or your child is experiencing any of the following symptoms:
Cough?
*
Yes
No
Shortness of breath or difficulty breathing?
*
Yes
No
Muscle aches?
*
Yes
No
New loss of taste or smell?
*
Yes
No
Exposed to someone with COVID or with symptoms?
*
Yes
No
Have you given your child a fever reducer medication in the last 12 hours?
*
Yes
No
Signature
Signature
Δ
District
DSD Events Calendar
23-24 Yearly Calendar
24-25 Approved Calendar
About DSD
District Newsletters
Accountability (DAC)
Administrative Team
Emergency Operations Plan
Financial Transparency
RFP/RFQ Open Bids
School Board
Staff Directory
Title IX and Grievance
Schools
Schools List
Teddy Bear Preschool
Dolores Elementary
Dolores Secondary (HS/MS)
Parents & Students
AR Tutorial
Assessment Information
Early Access Kinder-1st Grade
Enrollment
Free Friday Fundays
Gifted and Talented
Multi Language Learners (ML/ELL)
Parent’s Right to Know
Powerschool Login
Student Accident Insurance
Student Health
Title I Parent Notification Letter
Volunteer Application
Bullying Plan/ Reporting
Community
Community Information
Facilities Use Agreement
Volunteer
Departments
Athletics & Activities
Business Services
Employment
Academic Advising
Counseling
Maintenance/Facilities
Nutrition Services
Superintendent
Technology
Transportation