COVID-19 Positive Case Questionnaire

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

COVID-19 Positive Case Questionnaire

If your student tests positive for COVID-19, please answer the few questions below to assist us with the reporting process. Only the number of students by grade and school is shared. No personal information is reported. Thank you!

Sign in to Google to save your progress. Learn more

* Indicates required question

Email *

Your email

School/Building *

Choose

ITDC

Glen

Hawes

Orchard

Ridge

Somerville

Travell

Willard

BFMS

GWMS

Ridgewood High School

Education Center

Grade *

Pre-K

K

1

2

3

4

5

6

7

8

9

10

11

12

12+

Last Name Student *

Your answer

First Name Student *

Your answer

Last Name Parent/Guardian *

Your answer

First Name Parent/Guardian *

Your answer

Thank you. Your time is appreciated.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Ridgewood Public Schools. Report Abuse