Covid Monitoring
To be completed daily by 12pm as and when requested by Dr. Tom
Mandatory fields are indicated with *
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Athlete Name *
Date *
Date of relevant session/ day
MM
/
DD
/
YYYY
Waking Heart Rate *
Indicate whole number ONLY in beats per min e.g. 54
Sleep Duration *
How many hours sleep did you get?
Sleep Quality *
Rate the quality of your sleep
Very Poor
Excellent
Energy Level *
What are your energy levels like
Very Low
Normal
Headache
Have you had a headache in the past 12 hours
Dizziness
Have you suffered from dizziness in the past 12 hours
Chest Pain
Have you suffered from chest pain in the past 12 hours
Breathlessness *
Have you suffered from breathlessness in any of the following
Cough
Do you have a cough and how would you describe it?
Clear selection
Muscle Soreness *
Rate your whole body muscle soreness
Very sore
Feeling Great
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