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Pre-workout Medical Questionnaire
Please answer the following questions.
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Email
*
Your email
Name of Athlete
*
Your answer
Do you have a new cough that can not be attributed to another health condition?
*
Yes
No
Do you have new shortness of breath that can not be attributed to another health condition?
*
Yes
No
Do you have any of the two following symptoms: Fever (100.4 or higher), Chills, Repeated Shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell?
*
Yes
No
Have you come into close contact (within 6 feet) with someone who has a laboratory confirmed Covid-19 diagnosis in the past 14 days?
*
Yes
No
Have you received a laboratory confirmed Covid-19 diagnosis in the past 14 days?
*
Yes
No
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