COVID-19 Symptoms Checklist

Covid-19 Symptoms Checklist

for Team Personnel, Players & Referees 

1. Do you have any of the below symptoms?

• Fever (greater than 38.0C)                                                                                               YES                              NO

• Cough                                                                                                                                 YES                              NO       

• Shortness of Breath / Difficulty Breathing                                                                       YES                              NO

• Sore Throat                                                                                                                        YES                              NO

• Runny Nose                                                                                                                        YES                              NO

2. Has anyone in your household experienced any of the above                                              YES                              NO

    in the last 14 days?

3. Have you, or anyone in your household travelled outside of                                                YES                              NO

    Canada in the last 14 days?

 
4. Have you, or anyone in your household been in contact in the                                            YES                              NO

    last 14 days with someone who is being investigated or

    confirmed to be a case of Covid-19?

5. Are you currently being investigated as a suspect case of Covid19?                                   YES                              NO

6. Have you tested positive for Covid-19 within the last 10 days?                                          YES                              NO

If an individual answer ‘YES’ to any of the questions above, they are not to be permitted to participate in training for a minimum of 14 days.