Athlete Health and Readiness Checklist Form
Complete this Athlete Health and Readiness Checklist Form before training or competition to confirm your general wellness and preparedness.
Full Name
*
First Name
Last Name
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are you currently experiencing any of the following symptoms? (Select all that apply)
*
Fever
Cough
Sore throat
Muscle aches
None of the above
Have you had any recent injuries that affect your ability to participate?
*
No
Yes
Did you sleep at least 7 hours last night?
*
Yes
No
Did you eat a balanced meal within the last 4 hours?
*
Yes
No
Are you properly hydrated?
*
Yes
No
Are you currently taking any medication that may affect your participation?
*
No
Yes
Have you traveled outside your usual area in the last 14 days?
*
No
Yes
Do you feel mentally prepared and ready to participate today?
*
Yes
No
Submit Checklist
Should be Empty: