COVID-19 Symptom Checker
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Date
MM
/
DD
/
YYYY
Name of Athlete
Are you currently diagnosed with or believe you may have COVID-19?
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Have you been in contact with a COVID-19 confirmed or suspected case in the previous 14 days?
Clear selection
Have you had any of these symptoms of COVID-19 in the past 14 days?
High temperature (fever)?
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A new continuous cough?
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New unexplained shortness of breath?
Clear selection
If you have answered YES to any of these questions you should stay at home and inform your medical practitioner. You should follow all current local Public Health guidance. Contact Elmhurst Rugby staff to discuss a return to activities with the club.
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