Collegiate Junior School - Visitors Screening Survey
As per the Standard Operating Procedures specified by the Department of Education, we require all visitors to complete the following survey. Before your arrival, please take a few moments to complete the survey.
Date of Visit *
Please select the date for which you are completing the survey for.
MM
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DD
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YYYY
Visitor Name & Surname *
Visitor ID number *
Visitor Cell No *
Reason for Visit *
To ensure the safety of all learners, teachers and staff, please indicate if you are experiencing any of the following symptoms: *
If you select any of these symptoms, excluding "None of the above", you must please remain at home.
Required
Have you been in contact with anyone showing flu symptoms in the last 10 days? *
Have you been in contact with anyone who tested positive for COVID-19 in the last 10 days? *
Is anyone in your household awaiting COVID-19 test results? *
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