Order Number / Booking Name*First Name*Surname*Contact Number*Are you currently in isolation because you have been diagnosed with COVID-19?*YesNoHave you come in contact with a person who has a confirmed case of COVID-19 within the past 14 days?*YesNoAre you currently being tested for COVID-19 due to symptoms, travel or close contacts as directed by your GP or the Department of Health?*YesNoIs anyone in your household being tested for COVID-19 currently?*YesNoAre you experiencing any of the following*Fever or chillsAcute respiratory infection, including coughs, sore throat, shortness of breath, runny noseLoss of smell or tasteNoneI agree I will not attend Always Eventive's premise if I have answered 'Yes' to any of the above questions, if I develop flu symptoms, suspect I have COVID-19 or have come into contact with anybody at risk of contracting COVID-19.*I agree