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Test Auqathon Race Series Sign in 
Personal Screening Questionnaire
If you have answered YES to any of these questions you should stay at home and inform your
medical practitioner.
• Are you currently diagnosed with or believe you may have COVID-19?
• Have you had any of these symptoms of COVID-19 in the past 14 days?
o ​→ High temperature (fever)?
o → A new continuous cough?
o → New unexplained shortness of breath?
• Have you been in contact with a COVID-19 confirmed or suspect case in the previous 14 days?
• Provided direct care for COVID-19 patients in the past 14 days?
• Visited or stayed in a closed environment with anyone with COVID-19 in the past 14 days?
• Travelled together with COVID-19 patient in any kind of conveyance in the past 14 days?
• Arrived in Ireland from another country in the last 14 days – this includes Irish citizens travelling home?

    Test Aquathon 1, July 20th

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