Attachment 1

Symptom and Exposure Questionnaire

All players and Club employees are required to complete the following COVID-19 symptom and
exposure questionnaire before being allowed to enter a Club facility. If your answer to questions
1, 2, or 3 is “Yes,” please also contact a member of your Club’s training or medical staff to discuss
whether it is advisable for you to travel to Spring Training.

1. In the past 72 hours, have you experienced any of the following symptoms?
Yes No

Shortness of Breath or Difficulty Breathing

Cough (new onset or worsening)
Fever (felt feverish or warm)
Headache
Chills
Sore or Scratchy Throat
New Loss of Taste or Smell
Muscle Pain
Nasal Congestion
Runny Nose
Nausea or Vomiting
Diarrhea
Gastrointestinal distress or upset stomach
Fatigue or Weakness
Swelling of the toes or lower extremities
Chest tightness or pain
Swollen lymph nodes or glands
Abdominal pain
Rash or “COVID toes”

If you answered “Yes” to any of the above, please provide details (use additional sheet if
necessary):

______________________________________________________________________________

______________________________________________________________________________
2. Have you had a fever at or above 100.4 degrees Fahrenheit or taken any fever-reducing
medications (e.g., Tylenol or Advil) within in the last 72 hours?
Yes No

If you answered “Yes,” please provide detail below (including temperature readings, if available):

______________________________________________________________________________

______________________________________________________________________________

3. Do you have reason to believe that you, or anyone with whom you have had close contact, 17
may have been exposed to Covid-19 in the past 14 days?
Yes No

If you answered “Yes,” please provide detail below (and identify the individual, if possible):

______________________________________________________________________________

______________________________________________________________________________

4. Please list below any countries other than the United States or Canada in which you have
spent time over the last 30 days. If you have not left the United States and Canada within
the last 30 days, please write “None.” (Use additional sheet, if necessary.)

______________________________________________________________________________

______________________________________________________________________________

NAME: _____________________ DATE: _________________

17
The CDC defines “close contact” as living in the same household, being within six feet of someone for fifteen
minutes or longer, or being in direct contact with secretions from a sick person with COVID-19 (e.g., being coughed
on). Close contact does not include brief interactions, such as walking past someone.