COVID 19 Screening Document

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Please complete and submit this form 2 hours before you arrive to the session. If you have any problems please email Ojan Hodjat at oh403@bath.ac.uk

What is your Full Name? *

What is your University of Bath Email address? *

Do you currently have a high temperature or fever? *

Yes

Do you currently suffer from a new persistant cough? *

Yes

Do you currently suffer from a loss or change of taste and/or smell? *

Yes

Have you been in contact with a person suspected of having COVID 19 in the last 48 hours? *

Yes

Have you been advised to self isolate as per NHS guidance? *

Yes

Have you completed a lateral flow test and tested negative for COVID 19 in the past 12 hours? *

Yes

Have you received at least 2 COVID 19 vaccines? Please note that you may need to prove vaccination status before the session. *

Yes

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