KIGOOS - COVID SCREENING SURVEY

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DAILY HEALTH SCREENING

Swimmer Name *

Swimmer Group *

Do you have any of the following NEW Key Symptoms of Illness? • Fever • Chills • Cough or worsening of chronic cough • Shortness of breath • Diarrhea • Nausea and vomiting • Loss of sense of smell or taste *

Yes

Have you returned from travel outside of Canada in the last 14 days? *

Yes

Are you a confirmed contact of a person confirmed to have COVID-19? *

Yes

If you answered “YES” to one questions above you should stay home for 24 hours from when the symptom started. If the symptom persists or worsens, seek a health assessment.

• A health assessment includes calling 8-1-1, or a primary care provider like a physician or nurse practitioner. If a health assessment is required, you should not return to the pool until COVID-19 has been excluded and your symptoms have improved.

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