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GNW Recreation Covid Pre-Screen
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* Indicates required question
Name
*
Your answer
Age
*
Your answer
Team
*
Broncos
Hurricanes
Rangers
Raptors
Sparrows
Tornadoes
Warriors
Do you have any of these symptoms that are not caused by another condition?
*
Fever or chills
Cough
Shortness of breath or difficulty breathing
Fatigue
Muscle or body aches
Headache
Recent loss of taste or smell
Sore throat
Congestion
Nausea or vomiting
Diarrhea
I don't have any of these symptoms
Required
Within the past 14 days, have you had contact with anyone that you know had COVID-19 or COVID-like symptoms?
*
Yes
No
Have you had a positive COVID-19 test for active virus in the past 10 days?
*
Yes
No
Within the past 14 days, has a public health or medical professional told you to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19 infection?
*
Yes
No
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