COVID-19 Health Screening
This pre-work Symptom Survey must be completed prior to reporting to training today. It is critically important that everyone working is healthy and symptom free. Please complete this brief survey.
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San Jose Surf
River Islands FC
Cantera de Suenos
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This form is for informational purposes to help you check for COVID-19 symptoms as outlined by the CDC. This form is not intended to diagnose conditions, including COVID-19. Self-reported responses are used to screen all staff and student-athletes before interacting with players. This form must be completed for any day you will be on participating in any Surf programs.
Within the last 10 days have you been diagnosed with COVID-19 or had a test confirming you have the virus?
Within the past 14 days, have you had close contact with anyone that you know had COVID-19 or COVID-like symptoms? A close contact is defined as being 6 feet (2 meters) or closer for more than 15 minutes with a person, or having direct contact with fluids from a person with COVID-19 (for example, being coughed or sneezed on).
Within the past 14 days, has a public health or medical professional told you to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19 infection?
Do you have any of the symptoms listed below that are not caused by another condition?
By clicking submit, I acknowledge this information will be used to comply with the local county or city Department of Public Health screening requirements.
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