BW COVID FORM | journeylines

If any of the following statements apply to you, pleae tick the box. Select as many as you need to.

In the last 14 days I have been in contact with someone experiencing any of the COVID-19 symptoms listed above

I. or someone I have been in contact with, have tested postive for COVID-19 in the past

I am currently waiting for COVID-19 test results

I have been in contact with someone who is currently waiting for COVID-19 test results

In the 14 days prior to the workshop I have travelled to or from an area designated as a COVID-19 hotspot.

Covid-19 Health Declaration