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Test to Stay Weekly Survey

Name of School
Week Ending Date
Insert Friday's date (example: 1/7/2022)
Test to Stay Metrics
Number of students participating in Test to Stay this week
Number of tests performed as part of Test to Stay this week
For students who tested positive for COVID-19 while on Test to Stay this week:
Enter number who tested positive on day post-exposure to COVID-19
Day 1 post-exposure
Day 2 post-exposure
Day 3 post-exposure
Day 4 post-exposure
Day 5 post-exposure
> Day 5 post-exposure