COVID-19 Bi-Weekly Questionnaire
Sign in to Google to save your progress. Learn more
Email *
Do you have symptoms of fever, cough, sore throat, runny nose, headache, or difficulty breathing? *
Have you had close contact with a confirmed or probable case of COVID-19 in the past 14 days? *
Have you returned from travel outside Canada in the past 14 days? *
If you checked yes to any of the above questions, please do not attend the gym for the next 14 days.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
reCAPTCHA
This form was created inside of Quinit Boxing. Report Abuse