Safety Declaration for Physical Classroom Training During Covid-19
Given the ongoing COVID-19 pandemic, we seek your co-operation to complete the following form to facilitate contact tracing, if necessary.
If you are attending physical classroom training, please fill up the form below.
Sign in to Google
to save your progress.
Name (as Per NRIC)
Date of Training
Do you have any of the following symptoms now or within the last 14 days: Cough, smell/taste impairment, fever, breathing difficulties, body aches, headaches, fatigue, sore throat, diarrhoea, and / or runny nose (even if your symptoms are mild)?
Have you been in contact with anyone who is suspected to have or/has been diagnosed with Covid-19 within the last 14 days?
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Ev3dm.