SDC Health Questionnaire
SASKATOON DIVING CLUB IS COMMITTED TO MAINTAINING A SAFE TRAINING AREA FOR EVERYONE.
In light of recent Coronavirus (COVID-19) developments, access to the training area is limited.
This Health Questionnaire must be completed by all athletes, coaches and others accessing the Training Area.
PROCEED HOME IF YOU:
- Are experiencing problems with breathing, have a cough or fever (temperature over 37.9C or 100.4F)
- Develop these symptoms while training.
- Answer 'Yes' to any of the questions pertaining to travel and/ or contact with others diagnosed with COVID-19
NOTIFY YOUR COACH IMMEDIATELY IF YOU ANSWER 'YES' TO ANY OF THE QUESTIONS ABOVE & BELOW.
Participant Full Name
Training Date & Time
Who is your Coach?
I am a Coach
I am a Parent
Which Training Area would you like to access?
George Ward (Outdoor Pool)
Riversdale (Outdoor Pool)
Field Training (Outdoor)
Enter Temperature (number only)
Is Temperature above 37.9C/ 100.4F?
Are you experiencing any of the following NEW or WORSENING respiratory symptoms (cough, shortness of breath, difficulty breathing, sore throat, runny nose)?
Are you experiencing any of the following NEW atypical symptoms (chills, aches, pains, headache, loss of sense of smell or taste)?
Have you tested positive for COVID-19 (if cleared by health professional, select No)?
In the Past 14 days, have you had direct contact with anyone showing the above symptoms of Coronavirus (COVID-19) or has tested positive for Coronavirus (COVID-19)?
In the past 14 days, have you or anyone in your family returned from travel outside of Canada?
Have you been made aware of the following COVID-19 protocols in place in all Training Areas? (Please tick off each item to acknowledge your understanding. See your Coach for additional information if needed.)
Physical Distancing - Stay 2m (6ft) from others at all times.
Masks required (new non-reusable type or clean reusable type) when Physical Distancing is not possible
Good Hand Hygiene - Wash hands frequently & sanitize upon entering training area.
Disinfectant Protocols - all shared surfaces, mats and equipment must be disinfected after each use.
Personal Belongings - No storage of loose personal items in the training area.
Report any sudden onset of symptoms or change to your health status to your coach.
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