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Weight Room COVID-19 Screening
Must be filled out each day before attending.
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* Indicates required question
First, Last Name
*
Your answer
Symptoms
*
Yes
No
Cough
Sore Throat
Vomiting
Chills
Muscle Aches
headache
Taste/Smell Loss
Shortness of Breath
Close Contact with Positive Case
Fever
Yes
No
Cough
Sore Throat
Vomiting
Chills
Muscle Aches
headache
Taste/Smell Loss
Shortness of Breath
Close Contact with Positive Case
Fever
Current Temperature
*
Your answer
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