SFC Summer Academy Attendance

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COVID-19 screening questionnaire, add player name & reply to all 5 questions

Player name *

1. Have you had a fever (greater than 100.4 F or 38.0 C) and/or respiratory symptoms such as cough, difficulty breathing/shortness of breath, sore throat, chills, muscle pain, or loss of taste or smell within the last 14 days? *

Yes

2. Have you had close contact (within 6 feet) with someone who has a laboratory confirmed COVID-19 diagnosis in the past 14 days? *

Yes

3. Have you, anyone in your household or visitors to your household, traveled either outside of the United States and/or to California, Connecticut, Illinois, Louisiana, Massachusetts, Michigan, New York, New Jersey, Pennsylvania, and Washington, D.C., Dade County (Miami), Broward County (Ft. Lauderdale) or Palm Beach County (West Palm Beach) in the last 14 days? *

Yes

4. Is there anyone in your home over 60 years old, immune compromised or otherwise at risk for infection? *

Yes

5. Are you a first responder, healthcare worker, or employee or attendee of a child or adult care facility? *

Yes

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