COVID-19

Before attending any of the club events you must confirm that you are are not answering yes to any of the following questions. This questionnaire is to screen for possible symptoms of COVID-19 on arrival to any club session/activity to ensure it is appropriate for athletes and coaches to participate.  The session coach/lead will ask all participants the following questions at the beginning of each session.  If any participant answers yes, they should be asked to isolate and contact their GP

Today or at any point in the last 14 days have you had:  

COVID-19 Questions on Symptoms

YES

NO

A Fever?

YES

NO 

A Cough?

YES 

NO 

Any shortness of breath?

YES 

NO 

Any chest pain or tightness?

YES 

NO 

A sore throat or hoarse voice?

YES 

NO 

Abnormal fatigue or drowsiness?

YES 

NO 

Any loss of taste or smell?

YES 

NO 

Any abdominal pain, vomiting or diarrhoea?

YES 

NO 

Any confusion or disorientation?

YES 

NO 

A headache?

YES 

NO 

A different joint or muscle pain

YES 

NO 

Any new rashes?

YES 

NO 

Has any member of your household or someone that you have been in contact with reported any of the above symptoms in the last 14 days?

YES 

NO 

 

If you have answered yes to the above questions, you should self-isolate for 14 days.

 

General fitness to train

 

Pre-Session Fitness Related Questions

YES

NO

Have you recently suffered any form of injury?

YES 

NO 

 

YES 

NO 

Do you have any form of under lying illness, such as?

·         Asthma

·         Epilepsy

·         Suffering from any immune deficiency

·         Receiving any form of medication that might affect you during the session

YES 

NO 

Do you have chest pain when performing physical activity?

YES 

NO 

Are you pregnant or have you given birth in the last 6 months?

YES 

NO 

Do you have a bone or joint problem that causes you pain when exercising?

YES 

NO 

Have you had recent surgery?

YES 

NO 

Do you have any other limitations that must be addressed when developing an exercise plan (i.e. diabetes, high blood pressure, high cholesterol, arthritis, back problems etc.)?

YES 

NO 

Receiving any form of medication that might affect you during the session

YES 

NO 


If you answered yes to the above questions you should asked yourself if you should be continuing to train in this session.  If you are unsure you should seek further medical advice from their GP.

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