Covid-19 Screening Form
Testing
Have you had a Covid-19 test?
Did you self isolate?
Do you still have symptoms?
Are you registered on the NHS Track & Trace App?
Symptoms
Are you experiencing any of the following?
Are you experiencing any of the following?
Are you experiencing any of the following?
Are you experiencing any of the following?
Have you been in contact with anyone with Covid-19 symptoms?
Are you taking your temperature regularly?
If yes please call 999
If yes please self-isolate for 7 days
If yes please self-isolate for 7 days. Then taking a test will be necessary. Call 119
If yes please contact your GP or call 111
Have you had or are you now experiencing Covid-19 symptoms?
Have you recently been hospitalised?
Do you have any of the following health issues?
Are you?

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