North East England
COVID-19 Health Questionairre
Must be completed via e-mail a maximum of 48hrs prior to appointment and again on day of appointment, informing me if any answers are yes. If you start to suffer any symptoms, become aware of any person you have been in contact with who has covid or symptoms or any member of the booking has covid or symptoms between this questionaire and the booking time you MUST cancel the appointment/booking.
I do not want you to risk yourself, any family or booking member becoming severely ill or my family or self.
Please answer honestly to keep yourself and my family safe.
Do/have you or anyone you live with …
travelled abroad in the last 14days?
feel unwell in the last 10days?
have a temperature, continuous cough, flu like symptoms, sickness or diarrhoea in the last 10days?
lost your sense of smell or taste?
Been in contact with anyone who has Covid-19 within the last 10days?
Waiting for Covid-19 test results?