COVID 19 QUESTIONAIRE COVID 19 SCREENING QUESTIONAIRE Please enable JavaScript in your browser to complete this form.Participant's Name *FirstLastBirthdate *Participant Type *Coach, Trainer, Manager or OfficialHL Player or ParentCompetitive Player or ParentParent or Guardian's NameFirstLastEmail *Check any boxes that apply. Do you have any of the following new or worsening symptoms or signs? *Fever or ChillsCoughDifficulty Breathing/Shortness of BreathSore throatRunny/Stuffy noseDecrease or loss of taste or smellNausea, vomiting, diarrheaNot feeling well, extreme tiredness, sore musclesNONE OF THE ABOVEDate *CommentSubmit Acknowledgement