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COVID-19 Pre-Screening Survey

Before entering the facility you must ask the following 3 questions of yourself or your youth player.

If the answer is YES to any of these questions then we ask you to review the OHA guidelines for self isolation. If you believe you are a risk to others of spreading COVID-19 then please communicate with us via info@rosecityfutsal.com or phone. 503.734.2382 (East) or 971.727.8481 (West).

Have you had any of the following symptoms in the past 14 days?

  • Fever
  • Shortness of breath
  • Cough
  • Chills
  • Fatigue
  • Muscle or body ache
  • Headache
  • Sore Throat
  • Loss of appetite
  • Loss of taster or smell
  • Congestion or runny nose
  • Nausea or Vomiting
  • Diarrhea

Is there anyone that you have been in close contact with that has tested positive or exhibited symptoms for Covid-19 in the past 14 days?

Have you had a fever of 100 degrees or above in the past 14 days?

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