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Daily Symptoms Health Check
To be completed each morning PRIOR to arriving at the race venue
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* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
Gender
*
Female
Male
Email
*
Your answer
Mobile Phone
*
Your answer
Team/Club
*
Your answer
Primary Role
*
Choose
Athlete
Coach
Team Manager/Athletic Trainer
Race Crew/Event Staff
Have you experienced any of the following COVID-19 symptoms in the last 24 hours (unrelated to other health conditions)?
*
YES
NO
Fever
Chills
Cough
Shortness of breath or difficulty breathing
Fatigue
Muscle or body aches
Loss of taste or smell
Congestion or runny nose
Nausea, vomiting or diarrhea
Headache
Sore Throat
YES
NO
Fever
Chills
Cough
Shortness of breath or difficulty breathing
Fatigue
Muscle or body aches
Loss of taste or smell
Congestion or runny nose
Nausea, vomiting or diarrhea
Headache
Sore Throat
Please record your temperature
*
Your answer
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