Do you currently have COVID-19 or any symptoms of COVID-19? *

Have you had COVID-19? *

Does anyone in your household have COVID-19 or symptoms of COVID-19? *

Have you been in close contact with anyone else in the past 14 days who has symptoms of COVID-19

Are you classed as an extremely vulnerable person (high risk)? *

Are you classed as a vulnerable person (moderate risk)? *

Do you agree to adhere to the guidelines in our COVID-19 Policy? *