Swimming Pool COVID-19 Health Screening Questionnaire

SWIMMING POOL COVID-19 HEALTH DECLARATION FORM

This form MUST be submitted before your booked swimming time.
  • Date Format: MM slash DD slash YYYY
  • 1. Fever or signs of a fever, such as chills, sweats, muscle aches, and lightheadedness) 2. Cough 3. Headache 4. Runny nose 5. Painful swallowing 6. Diarrhea 7. Loss of sense of smell or taste 8. Unexplained loss of appetite 9. Small red or purple spots on hands and/or feet?