OWHA Health Screening Questionnaire U13 Group B (North Simcoe Girls Hockey Association)

Remaining questions

For the remaining questions, close physical contact means: Being less than 2 meters away in the same room, workspace, or area for over 15 minutes or living in the same home.

In the last 14 days, have you been in close physical contact with someone who tested positive for COVID-19?^*

NoYes

Required

In the last 14 days, have you been in close physical contact with a person who either: Is currently sick with a new cough, fever, or difficulty breathing; OR Returned from outside of Canada in the last 2 weeks?^*

NoYes

Required

Have you travelled outside of Canada in the last 14 days?^*

NoYes

Required

Your name^*

Required

Date^*

Required

OWHA Health Screening Questionnaire U13 Group B (North Simcoe Girls Hockey Association)

Questions

Remaining questions

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