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Covid 19 Track and Trace information
If you are absent from school with Covid 19 Symptoms, please complete this proforma asap to help us track and trace any individuals who might also be at risk.
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Email
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Your email
Full Name
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Your answer
Mobile number
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Your answer
Faculty
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Your answer
When date did you develop your symptoms ?
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Your answer
What symptoms are you showing?
A new, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual)
High Temp
Loss of taste
Loss of smell
In the 48 hours prior to developing symptoms what classes did you teach and in which rooms?
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Your answer
Were there any pupils that you were in close proximity to ie: less than 1 m away for more than 1 minute?
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Your answer
Were there any staff that you were in close proximity to - in the office? In a meeting? At any other point? Please detail who, when and where.
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Your answer
Did you perform any duties or parking sessions during that time frame? Please name any pupils or staff you were in proximity with at this point?
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Your answer
Are you able to access systems and keep to your timetable to set work for students while isolating and communicate with staff at the school ?
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Yes
NO
Thank you
Thank you for giving the answers to these questions. We may not need to use them but if you test positive we can act promptly with clarity when tracking those who may have been in contact with you.
Please wish you well, please keep in contact and let us know the outcome of the test as soon as possible.
A copy of your responses will be emailed to the address you provided.
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