Health Survey

  • Have you had confirmed Covid-19 infection or any symptoms in keeping with Covid-19 in the last five months (tick any that may apply)?:

  • Have you had a known exposure to anyone with confirmed or suspected Covid-19 in the last two weeks? (e.g. close contact, household member):

  • Do you have any underlying medical conditions?(example: chronic respiratory, asthma, heart, kidney, liver, neurological, diabetes, immune system):

  • Do you live with or will you knowingly come in to close contact with someone who is currently ‘shielding’ or otherwise medically vulnerable?:

  • Do you fully understand the information presented in the COVID Return To Training briefing and the risks in relation to the COVID 19 pandemic?:

  • Please confirm the following with relation to travel abroad:

  • Please confirm the following declaration as a true submission to the best of your knowledge: