Freedom Paddle COVID-19 Screening
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Name and Surname *
Email address *
CSA Number (leave blank if not applicable)
Do you have any flu like symptoms? *
Have you had a lost of taste or smell in the past 30 days? *
Have you tested positive for COVID-19 in the past 30 days? *
Have you been exposed to anyone who has tested COVID-19 positive, over the past 30 days? *
Temperature - fill this in once your temp is checked by the medical team. *
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