CARFU Covid Symptom Checker
Symptom Checker required before EVERY training session
Email address *
*
925Contact Phone Number *
CIPP Number *
Are you currently diagnosed with or believe you may have COVID-19? *
Have you had any of these symptoms of Covid 19 in the past 14 days?
High temperature (Fever) *
A new continuous cough? *
New unexplained shortness of breath? *
Have you been in contact with a Covid19 confirmed, or suspected, case in the previous 14 days? *
If you have answered "YES" to any of these questions, you should stay home and inform your manager or medical practitioner. You should follow local current Public Health guidance
By checking the below box, I attest that all questions were answered honestly to the best of my ability *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy