Complete our Pre-Covid Form as our visitor policy

COVID PRE-SCREEN FORM

Do you now, or have you had in the last 14 days, any know symptoms of cough, fever, high temperature, sore throat, runny nose, breathlessness, changes in taste or smell, or any flu like symptoms?

Have you been diagnosed with or suspected of having COVID-19 infection in the last 14 days?

Have you been confirmed or suspected of being a close contact of a person, who has been a confirmed or suspected case of COVID-19 in the last 10 days?

Have you been advised by a doctor to self-isolate at this time?

10 + 7 =