COVID-19 Daily Pre-Screening Questions - Wrestling
Email *
Name of Athlete *
Parent/Guardian Filling out this Form *
Are you experiencing any of the following symptoms?
1.Fever (≥ 100.4°F) *
2.Cough or shortness of breath *
3.Sore Throat *
4.Chills *
5.Muscle aches or rigors *
6.Headache *
7.New loss of taste or smell *
8.Abdominal pain, nausea, vomiting or diarrhea *
Have you had close contact with someone who is currently sick? *
Is someone in your household diagnosed with or being tested for Covid-19? *
Have you been diagnosed with COVID-19 in the past three weeks or have reason to believe you have COVID-19? *
Have you traveled or had close contact with anyone who has traveled internationally in the last 14 days? *
Confirm that this participant does not have Covid-19 related symptoms and has not had close contact / potential exposure to someone sick. *
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