NSMBA Health Questionnaire
This short form is meant to ensure the health and safety of the community by preventing the spread of COVID-19. Please complete this form before participating in any Trail Day you plan to attend.  

If you answer "Yes" to question 1-6, we ask that you please refrain from participating in the event.

Please contact ryan@nsmba.ca if you have any questions.
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First and Last Name *
Email address *
What date will you be volunteering? *
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Which trail will you be working on? *
1. Has anyone in your household experienced or developed any of the following symptoms in the past 2 weeks? - fever / trouble breathing / runny nose / nausea / diarrhea / chest pain / dry cough / sore throat / extreme fatigue *
Required
2. Are you currently experiencing or have experienced any of the following symptoms in the past 2 weeks? - fever / trouble breathing / runny nose / nausea / diarrhea / chest pain / dry cough / sore throat / extreme fatigue *
Required
3. Have you been in close contact with anyone who has tested positive for COVID-19 in the past 2 weeks? *
Required
4. Have you or anyone in your household travelled outside of Canada in the past 2 weeks? *
Required
5. Have you been told by a doctor or pubic health official to isolate in the past 2 weeks? *
Required
6. Have you been sent a COVID-19 Alert exposure notification to your phone in the past 2 weeks? *
Required
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