A medical statement for the Corona period

To enable the club to provide diving services, you must answer the following questionnaire. Please note that all information provided by you will be retained by the Club and transmitted to the Ministry of Health If requested, in case of concern for infection with corona disease.

Personal Information

Medical Questionnaire

Did you get sick in Corona?
Have you been sick with the flu figures for the past two weeks?
Is your body heat 38°C or higher or have you had a fever like this last week?
Are you coughing?
Have you been in contact with Corona patient for the past two weeks?