COVID-19 SAFE ONLINE CERTIFICATION QUESTIONNAIRE (July 2020)
Required to be completed by each RKC member, regardless as to whether they intend to resume training  at the PHYSICAL dojo or not.
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1. What are the most common signs and symptoms of COVID-19? *
Required
2. Which demographic groups are most likely to become seriously ill IF infected? *
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3. COVID-19 can be cured by antibiotics? *
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4. When you have symptoms such as fever, cough, fatigue, and sore throat you should stay away from your workplace? *
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5. How can you protect yourself COVID-19? *
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6. COVID-19 is caused by a *
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7. Approximately. what percentage of people become seriously ill? *
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8. Who is responsible for preventing the spread of COVID-19? *
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9. COVID- 19 can be transmitted by mosquitoes? *
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10. Everyone should be wearing a mask to prevent COVID-19? *
Required
11. How does transmission of COVID-19 spread? *
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12. What does social distancing mean? *
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13. In the conduct of your martial arts class, a hand cleaning station where all persons entering the class area will clean their hands is mandatory. *
Required
14. In the conduct of your martial arts class, a requirement that the temperature of all persons entering be tested via a forehead thermometer(persons outside of the temperature range will not be able to enter) is mandatory *
Required
15. If l refuse entry to my class to a person who has shown a temperature outside of the temperature range, l am obliged to advise them to seek an immediate test for the COVID-19 virus *
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16. At what temperature, or above. must a person be refused entry to your class? *
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17. Will the Flu Vaccine protect me from the COVID-19 Virus? *
Required
18.After each class, all equipment will be appropriately cleaned after usage *
Required
19. In the conduct of your martial arts class a 'single user ' rule for all equipment applies i.e. focus pads, gloves etc. may only be used by the one person in any class *
Required
20. When partner training is permitted a student must have the same training partner for the duration of the class *
Required
21. Spectators to my martial arts class are allowed *
Required
22. Where possible my classes will have a separate entry and exit area *
Required
23. When l am conducting back to back classes, once classes are finished there will be no entry unto all those in the previous class have left *
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24. Change Rooms will not be used; students will be advised to attend in uniform ready to train. *
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25. I will ensure that the following items form part of my 'safety supplies': Hand sanitisers /Disinfectant/ Mops/ Microfibre cloths Gloves - rated safe/ paper towels *
Required
 26. Which of these is correct. l will clean and sanitise *
Required
27. Prior to my class l will space any chairs a minimum of 1.5 metres apart. *
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28. Some Parents have dropped their children off to train in your class, do l allow them to enter the class area and spectate *
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29. Under my 'Duty of Care ' responsibilities am l obliged to ensure that any children, in my class, are picked up by their parents or appropriate designated guardian. *
Required
Name *
Date *
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Place *
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