Indy GAA COVID-19 Questionnaire
Please complete this from before participating in any on-field club activities
Sign in to Google to save your progress. Learn more
Name *
Are you fully vaccinated for COVID-19? *
List of Symptoms
- Fever or chills
- Cough
- Shortness of breath or difficulty breathing
- Fatigue
- Muscle or body aches
- Headache
- New loss of taste or smell
- Sore throat
- Congestion or runny nose
- Nausea or vomiting
- Diarrhea
Are you experiencing any of the symptoms listed above? *
Are you ill, or caring for someone who is ill? *
In the past two weeks have you or someone you’ve been in contact with been diagnosed with COVID-19? *
If you have answered 'Yes' to any of the questions above DO NOT participate in any of today's activities!
Do you understand that you must abide by all requirements outlined in our MCPHD-approved event plan, or you may be asked to leave? The plan can be viewed at *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy