1. Have you been in contact with anyone who has been diagnosed with COVID - 19?
2. Have you, within the last 14 days, been unwell or exhibited any symptoms including:

• Loss of sense of smell
• Sore throat
• Fever
• Cough
• Shortness of breath
• Fatigue

3. Have you been in contact with anyone that has had the above symptoms?

4. Have you travelled within the past 14 days to any COVID hotspots?