2021-2022 Daily Covid 19 Questionnaire (Stratford Volleyball Club)

Print 2021-2022 Daily Covid 19 Questionnaire
Player/Coach/Volenteer Information
SVC Health Screening Questionnaire
The symptoms listed here are the symptoms most commonly associated with COVID-19. Our guidelines for children and adults continue to evolve as we learn more about COVID-19, how it spreads and how it affects people in different ways. Please answer the questions below before each visit to the Agriplex. Choose any/all that are new, worsening and not related to other known causes or conditions you already have.
  1. If you answer "yes" please proceed to #6, if "no" proceed to #3
  1. If you have answered NO to all of the questions you are permitted to enter the Agriplex at your scheduled time.


    If you have answered 
    YES to any of the questions other than #2,  you are not permitted to enter the Agriplex and you should contact your health care provider if needed for further advice.

Human Validation