COVID-19 Screening Questionnaire

The safety of our staff and any visitors to our premises remains our overriding priority. With that in mind, please complete the following screening questionnaire to enable us to take appropriate precautions to protect you and everyone in our premises.

Section 1


Section 2 - Symptoms of Coronavirus

https://www.nhs.uk/conditions/coronavirus-covid-19/symptoms/

If so, please provide a copy asap.

If so, please provide a copy asap.

If you have any symptoms of the Coronavirus, you must use the 111 coronavirus service and confirm the advice that you are given to us. If you are advised to self-isolate, you must submit an isolation notice to us by email to: info@cmsvoc.co.uk

Section 3 - Overseas Travel

Please provide full details:


Section 4 - Family Members

If a member of your household or anyone that you have been in close contact with in the last 7 days have symptoms of the Coronavirus, you must use the 111 coronavirus service and confirm the advice that you are given to us. If you are advised to self-isolate, you must submit an isolation notice to us by email to: info@cmsvoc.co.uk

Declaration

I certify that the information given is true and accurate.
I understand that if the information in this form changes, I must update CMS Vocational Training Ltd immediately.
I have read the CMS COVID19 RA Policy and Processes Document



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