COVID-19: Pre-Session Participant Health Questionnaire
This questionnaire is to screen for possible symptoms of COVID-19 on arrival to any club
session/activity to ensure it is appropriate for athletes and coaches to participate. The
session coach/lead should ask all participants the following questions at the beginning of
each session. If any participant answers yes, they should be asked to isolate and contact
their GP
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Name *
What is your name? Unless we know who you are then we cannot let you train with us! If there is more than one person in a household then each person will need to complete this separately.
Session *
What session are you attending?
Date *
What date is the session?
MM
/
DD
/
YYYY
Symptoms *
Today or at any point in the last 14 days have you had any of the following symptoms: 1. Fever 2. Persistent, dry cough 3. Loss of taste 4. Loss of smell You must answer Yes or No. If Yes then you must give full details. If you answer yes to this question, NHS advice is you should get a test to check if you have coronavirus as soon as possible. Stay at home and do not have visitors until you get your test results – only leave home to get a test.
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