GTP Return to Play Covid-19 Health Questionnaire
"Common sense above all else"

To keep you and all of our players, participants, coaches, and their families safe, we are following the guidelines and recommendations of the New Jersey Department of Health and requiring that every participant be assessed for COVID-19 symptoms and risk factors each day before engaging in training with GTP. The below questionnaire must be completed by every athlete/participant before they start their training.

Regardless of how you answer the questions provided on this survey, if your player has symptoms consistent with COVID-19 or feel your player may be developing symptoms consistent with COVID-19, your player cannot attend or participate in any training with GTP and you should contact your local healthcare professional.
Today's Date *
Participant Name *
Do you currently have COVID-19? *
Have you or your athlete been tested for COVID-19 within the past 14 days? *
If you answered yes to either of the 2 previous questions, please provide additional information including: the date the test was performed, whether you received the results and if so, when and what the results were, and the date of the last Training with GTP.
Within the last 14 days, have you or your athlete been exposed to, or come in contact with, anyone you know: (a) who has COVID-19; (b) who is/was being tested for COVID-19; (c) who had symptoms consistent with COVID-19; or (d) who was exposed to someone with COVID-19 *
If you answered yes to the previous question, please provide details regarding the exposure/contact, including the date of such exposure/contact, and the date of the last training with GTP.
Do you or your athlete have a fever (100.4 degrees fahreinheit), or sense of having a fever? *
Do you (or your athlete) have any of the following symptoms: *
Have you or your athlete traveled internationally in the last 14 days? *
Have you or your athlete returned home from travel to a High Risk Area for Covid-19 within the US in the last 14 days? This includes the Governor's list of Alabama, Arkansas, Arizona, California, Florida, Georgia, Iowa, Idaho, Kansas, Louisiana, Minnesota, Mississippi, North Carolina, Nevada, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas, Utah, or Wisconsin. * *
If you answered yes to either of the 2 previous questions about travel, please provide dates of travel (including the date your player returned home), method of travel (family car, airplane, bus, train, etc.) and location where your player traveled.
Never submit passwords through Google Forms.
This form was created inside of TeamGTP - Grind Train Perform. Report Abuse