Covid-19 Pre-Training Screening Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Covid-19 Pre-Training Screening Form

We want to ensure everyone's safety while they train with us. Please take this brief questionnaire before you begin training with us in person. If you answer 'yes' to any of the 3 questions below. Please do not come in for training!!!

Sign in to Google to save your progress. Learn more

* Indicates required question

Email *

Your email

Your Name *

Your answer

Have you had a temperature of 100.4 or higher in the past 14 days? * *

Yes

No

Have you had a dry cough in the past 14 days? *

Yes

No

Have you had shortness of breath in the past 14 days? *

Yes

No

Contact Number *

Your answer

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy