Covid questions for in person sessions

This information will be stored in a Google Drive

Name

First Name

Last Name

Do you currently have any symptoms of Covid 19

For a list of symptoms follow this link https://www2.hse.ie/conditions/covid19/symptoms/overview/

Have you been in recent contact with anyone awaiting a test or anyone who has tested positive for Covid-19

Have you been told to self isolate or quarantine for any reason (Including travel to a red listed country)

Are you fully vaccinated

Sign and Date

e.g Robert Lewis 13/10/21