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York CSD COVID-19 Self-Check Assessment

The safety of the employees, students, families, clients, partners and visitors remains York CSD's top priority. As the COVID-19 outbreak continues, we will closely monitor the situation and will periodically update our guidance based on current recommendations from New York State. If you are concerned about underlying medical conditions, please consult with your personal medical health care provider.


To prevent the spread of COVID-19 and reduce the potential risk of exposure to our workforce, we are conducting a simple screening.

Your participation is important to help us take precautionary measures to protect you and everyone in this facility. We request you complete this screening everyday prior to entering our facility. Based on your response, you will be informed if you should report to work or if you can enter our facilities.

(This question is mandatory)

Please enter your First Name:

(This question is mandatory)

Please enter your Last Name:

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Please enter your Email Address:

(This question is mandatory)

Choose the role that best describes you:

(This question is mandatory)

Which location are you visiting today?

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Have you knowingly been in close contact (within 6 feet, for more than 10 consecutive minutes without preventive measures) in the past 14 days with someone diagnosed with or suspected of having COVID-19?

(This question is mandatory)

Have you tested positive for COVID-19 in the past 14 days?

(This question is mandatory)

Have you experienced symptoms in the last 24 hours that are new or not usual symptoms for you and are not related to seasonal allergies?

(This question is mandatory)

Are you returning to work after traveling to another country within the past 10 days? Please check the New York State COVID-19 Travel Advisory page for the most up-to-date information.

(This question is mandatory)

Have you experienced any symptoms of COVID-19, including a temperature of or greater than 100.0°F, in the last 24 hours?

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***Please keep the page open after submitting so you can show the results at the door.***

The data collected in this survey will be secured according to the Wayne-Finger Lakes BOCES Data Privacy and Security Policy as well as all pertinent data privacy laws and regulations. The data collected will exclusively be used for purposes that ensure the safety of the component districts of both Wayne-Finger Lakes and Genesee Valley BOCES employees and students.