Covid19 Questionnaire | Sparam Entertainment

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Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Email

I have not had a fever in the last week or experienced any symptoms of Covid19 in the last week.

I am currently not experiencing any symptoms of Covid19: fever, cough, sore throat etc

I haven’t been in close contact with a Covid-19 patient in the last 14 days

I have not travelled interstate or overseas in the last 10 days

Signature

Date

Thanks for submitting!

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