Huguenot Athletics: COVID-19 Daily Health Screening Questionnaire

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In accordance with the RPS Health and Safety Measures for Summer and Fall 2021, updated 6/28/2021, answering the following questions are required daily for students to participate in pre season conditioning and practices moving forward.

- Before leaving home, please answer the following screening questions daily.
- Students who answer yes to any of the screening questions should not attend the conditioning or practice session.

Have you experienced any of the following symptoms over the past 14 days?

First Name *

Last Name *

Feeling feverish and/or having chills - documented temperature of 100.4 F or higher? *

Has there been any fever reducing medication within the last 24 hours? *

A new cough that is not due to another health condition? *

Nasal congestion or runny nose? *

New shortness of breath or difficulty breathing that is not due to another heath condition? *

New chills that are not due to another health condition? *

A new sore throat that is not due to another health condition? *

New muscle aches that are not due to another health condition, or that may have been caused by a specific activity (such as physical exercise)? *

Fatigue (more tired than usual)? *

Headache? *

A new loss of taste or smell? *

Abdominal pain, diarrhea, nausea or vomiting? *

Have you had a positive test for the virus that causes COVID-19 disease within the past 10 days? *

Were you tested for COVID-19 because you were sick and are still waiting for the lab results? *

In the past 14 days, have you had close contact (within 6 feet for 15 minutes or more) with someone suspected or confirmed COVID-19? *

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