CN Curling Club COVID-19 Self Assessment Sign In
Team Name (please indicate if you are a spare)
Primary Phone Number
COVID-19 Self Assessment
Are you experiencing any new or unexplained symptoms including:
New muscle/joint pain,
Chills, runny nose,
Loss of taste/smell,
Loss of consciousness, or
Difficulty waking/staying awake?
Have you traveled outside Saskatchewan or Canada (including the United States) within the last 14 days?
Have you been exposed to someone under investigation for COVID-19, or who has tested positive for COVID-19 within the last 14 days?
Please answer yes or no based on the COVID-19 indicators above.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service