Cairn Lodge Services Test & Protect Collection Form Gloucester Services Customer Data Collection Form (Test & Trace) Question Title In order to help the UK's Test & Protect Programme, we are asking that if you are with us seated for more than 15 minutes that you fill out this short questionnaire. Please be assured we will not use or share your details for marketing purposes, they will be collected and stored securely and deleted in accordance with government guidance. We will only view this data if asked to do so in line with the purpose of collection.. We will if required share your details with the NHS / Test & Protect Programme. Question Title * 1. Your name and details Name (if more than one customer record lead name) How many people in your party? Telephone Number Postcode Question Title * 2. Arrival time Date / Time Date Time AM/PM - AM PM Question Title * 3. Estimated departure time Date / Time Date Time AM/PM - AM PM Done