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WHS SWIM/DIVE PARTICIPANT DAILY COVID-19 SCREENING
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* Menunjukkan pertanyaan yang wajib diisi
Email
*
Email Anda
LAST NAME
*
Jawaban Anda
FIRST NAME
*
Jawaban Anda
Have you been in close contact with a confirmed case of COVID-19?
*
Yes
No
Are you experiencing any of the following? (Please click Yes or No)
Fever (Temp over 100.3 in last 48 hours)
*
Yes
No
Chills
*
Yes
No
Cough
*
Yes
No
Shortness of Breath or Difficulty Breathing
*
Yes
No
Sore Throat
*
Yes
No
New Loss of Taste or Smell
*
Yes
No
If you have answered "Yes" to any of these (or if your temperature read above 100.3), STAY HOME AND CONTACT YOUR HEALTH CARE PROVIDER for further guidance.
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