CLUB ACTIVE INFORMATION QUESTIONNAIRE:
Type a question
1. Have you returned to the Island of Ireland from another country in the last 14 days ?
2. Have you been in close contact with anyone who has been confirmed with having the COVID 19 virus?
3. Do you live in the same house hold as a person who has symptoms of COVID 19 and who has been in isolation during the last 14 days?
4. Do you have any of the following typical symptoms of COVID 19:
- PERSISTANT COUGHING OR BREATHING DIFFICULTIES/ SHORTNESS OF BREATH
Should be Empty: