Visitor COVID-19 questionnaire

WUMe Visitor COVID-19 questionnaire

  • Who is the Patient you are accompanying today
  • COVID-19

    Please respond to the questions below by ticking the boxes that apply to you and your visitor:
    • Fever
    • Chills and sweats
    • Coughing
    • Sore throat
    • Shortness of breath
    • Runny nose
    • Loss of sense of smell