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Gowran AC - Training Health Questionnaire
Please fill out the form below. Form should be completed by parent/guardian on behalf of child.
Should you answer YES to any of the below questions (or display any of the symptoms) you should NOT attend.
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First Name
*
Your answer
Surname
*
Your answer
Contact Phone
*
Your answer
Do you believe that you may currently have COVID-19?
*
Yes
No
Have you had a high temperature (i.e. over 37.5°c) over the past 14 days?
*
Yes
No
Have you had a new continuous cough over the past 14 days?
*
Yes
No
Have you had a new unexplained shortness of breath over the past 14 days?
*
Yes
No
Have you had a loss of sense of smell, of taste or distortion of taste over the past 14 days?
*
Yes
No
If you have answered YES to any of these questions you should stay at home and contact your GP by phone for further advice. If you have answered NO to all of the above questions you may train
Your answer
Please click to confirm that you understand that the details above are true to the best of your knowledge.
*
I understand and confirm
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