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Covid questionary for art workshop

Dear Sir / Madam,

thank you for visiting us.
By filling out this 5-10 minute survey, you will help us obtain the very best results.

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1

Please fill out the Covid -19 questionary form below

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2

Do you believe that you may currently have Covid-19?

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3

Have you had any following symptoms of Covid-19 in the past 14 days? High Temperature?

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4

New continous cough?

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5

Shortness of breath?

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6

Loss of sense of smell of taste or distortion of taste?

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7

If you have answered YES to any of these questions you should stay at home and contact your GP by phone for futher advice. If you have answered NO to all of the above questions you main attend in art workshop. Please (digitally) sign this form to confirm that the details above are true to the best of your knowledge,that you or your guardian completed and to confirm that you understand the risks involved in participation, are participating on a voluntary basis and that you may opt-out at any time.

I understand and confirm:
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