CheerStrike Covid-19 Self-Screening
Self-Screening for Staff & Participants. Must be completed each day before entering the facility.
Please note that if you have answered YES to any of the questions below you may not come to the facility today. For the most up to date information about isolation requirements and answers to frequently asked questions please visit: https://www.healthunit.com/covid-19-concerns
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Email *
Name & Phone number of person dropping participant off  & picking them up today *
Attendee/Participant First and Last Name: *
Activity or Team Name (if your athlete is attending multiple classes or practices on the same day please select the earliest starting option) *
In the last 5 days, has the attendee experienced any of these symptoms? [Fever and/or chills, Cough or barking cough, shortness of breath, decrease or loss of taste  or smell, muscle aches/joint pain, extreme tiredness, sore throat, runny or stuffy/congested nose, headache, nausea, vomiting and/or diarrhea] Select “NO" if symptoms have been improving for 24 hours and you tested negative for COVID-19 on a single PCR test or two rapid antigen tests taken 24 to 48 hours apart. *
In the last 5 days has the attendee tested positive for Covid-19? This includes a positive COVID-19 test result on a lab-based PCR test, rapid antigen test, or home-based self-testing kit. **If 5 days have passed  since  the positive test and the attendee is 24 hours symptom free select "NO" *
Do any of the following apply? The attendee lives with someone who is currently isolating because of a positive COVID-19 test. The attendee lives with someone who is currently isolating because of COVID-19 symptoms. The attendee lives with someone who is waiting for COVID-19 test results. Select “No” if the person has not tested positive for COVID-19 and only has one of these symptoms: sore throat or difficulty swallowing, runny or stuffy/congested nose, headache, extreme tiredness, muscle aches or joint pain, nausea, vomiting and/or diarrhea. *
Has the attendee been identified as a “close contact” of someone who currently has COVID-19 and been advised to self-isolate? If public health guidance provided to you has advised you that you do not need to self-isolate, select “No.” *
In the last 14 days, has the attendee travelled outside of Canada and been told to only leave home for essential purposes (per the federal quarantine requirements)? *
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