LCN COVID -19 Pre-Workout Screening Questions

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LCN COVID -19 Pre-Workout Screening Questions

These questions must be filled out every time you attend a workout.

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* Indicates required question

Athlete's First Name *

Your answer

Athlete's Last Name *

Your answer

Sport *

Your answer

In the previous 24 hours, have you had a fever? *

Yes

No

In the previous 24 hours, have you had a cough? *

Yes

No

In the previous 24 hours, have you had a sore throat? *

Yes

No

In the previous 24 hours, have you had shortness of breath? *

Yes

No

Have you had close contact, or cared for someone with COVID-19? *

Yes

No

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