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R-series Covid questionnaire
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Email
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Your email
Please enter your name
*
Your answer
Are you currently displaying any of the signs or symptoms consistent with COVID-19: new or worsening fever, cough, congestion, sore throat, runny nose or shortness of breath?
*
Yes
No
In the past 14 days have you had close contact with a person who has tested positive for Covid-19?
*
Yes
No
Have you travelled outside of the country in the past 14 days?
*
Yes
No
I agree that I will not attend the event if I feel at all unwell.
*
I agree
My name typed here acts as my signature agreeing to all of the above. Parent or guardian if participant is under 18.
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Your answer
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