Pre-arrival questionnaire

Please complete the Covid-19 Pre-Arrival Form no later than 24 hours prior to your arrival.

First Name

Last Name

Phone

I have checked the NHS Guidance on Coronavirus Covid-19 symptoms and can confirm that neither I nor any member of my part have exhibited any of the symptoms in the last 14 days.

The main symptoms are: High Temperature – this means you feel hot to touch on your chest or back. New, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours. Loss or change to your sense of smell or taste – this means that you have noticed you cannot smell or taste anything, or things smell or taste different to normal.

I can confirm that I and all members of my party have not tested positive for Coronavirus COVID-19 within the last 14 days nor come into contact with anyone who has.

I can confirm that neither myself or any member of my party has travelled to any of the countries affected by Coronavirus in the past 14 days (please visit www.gov.uk for affected countries list)

I can confirm that neither myself or any members of my party have not been in close contact with anyone who has travlelled within the last 14 days to any of the affected countries

If you are unable to tick any of the above boxes or have a comment to make re Covid-19 please add in the box below.

Thanks for submitting!