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Dearborn Dolphins COVID Questionnaire
Please answer all questions honestly BEFORE practice.
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Last Name
*
Your answer
First Name
*
Your answer
What swim group are you in?
*
SENIOR
JUNIOR
INTERMEDIATE
NOVICE GOLD
NOVICE BLUE
Have you recently had any of the following symptoms? FEVER, COUGH, SHORTNESS OF BREATH, LOSS OF TASTE OR SMELL, STOMACH ISSUES, SORE THROAT, NASAL CONGESTION, BODY ACHES.
*
YES - please assess and if you suspect COVID, please do not attend practice and get tested
NO
Have you recently been around anyone who has tested POSITIVE for COVID?
*
YES - please refer to CDC guidance when it comes to your specific situation regarding testing, quarantining, and reporting
NO
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