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* 1. What is your child's name?
(This information is held securely, in accordance with GDPR regulations)

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* 2. Do you have a high temperature (this means you feel hot to touch on your chest or back - you do not need to measure your temperature)

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* 3. Do you have a new continuous cough?

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* 4. Do you have an unusual shortness of breath during exercise or rest?

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* 5. Do you have a loss or change in normal sense of taste or smell?

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* 6. Are you currently isolating as a result of showing symptoms of COVID-19?

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* 7. Have you been in contact with the COVID-19 confirmed or suspected case in the last 14 days?

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* 8. Has anyone in your household reported or exhibited any symptoms outlined in the above questions?

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* 9. Are you currently required to isolate or quarantine following overseas travel?

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* 10. Have you been in close contact with, or travelled from a high risk region, or have you been living with a suspected or confirmed case of COVID-19 in the last 14 days?

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