Student Health Survey – planning for the return/start of College
Sign in to Google to save your progress. Learn more
Student Name
ID Number (if known)
Course Name
Campus
Clear selection
5. In relation to your own health (student) are you classed as “extremely clinically vulnerable”. NHS definition of Extremely Clinically Vulnerable and Clinically Vulnerable https://www.nhs.uk/conditions/coronavirus-covid-19/people-at-higher-risk/whos-at-higher-risk-from-coronavirus/
Clear selection
6. When shielding was in place did you receive a letter from the NHS confirming that you should shield?
Clear selection
7. Are you in a clinically vulnerable group? NHS definition of Extremely  Clinically Vulnerable and Clinically Vulnerable https://www.nhs.uk/conditions/coronavirus-covid-19/people-at-higher-risk/whos-at-higher-risk-from-coronavirus/ 
Clear selection
8. Please write your vulnerable group/health issues
9. If the College had to go back into lockdown could you be safely supported at home
Clear selection
10. Please outline briefly anything else which you may not have informed us of before now and would like the College to be aware of.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Colchester Institute. Report Abuse