Aldershot, Farnham and District AC    COVID-19 Health Declaration
This is AFD AC's COVID-19 health questionnaire.  We are required by the government to request health information and to assist with the NHS Test and Trace programme.  

This questionnaire must be completed by any individuals entering AFD's training facilities/attending a training session.

The data will be held privately and will only be used as part of a Test & Trace request/audit.


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Please enter name *
Please enter email address *
Please enter contact number *
Health Evaluation *
Yes
No
Do you have a high temperature, a new continuous cough, have a sensory loss of taste or smell, or has anyone in your household or support bubble developed symptoms?
Confirmation
If you have answered yes to the above question, you are NOT permitted to attend the training session and you are advised to contact the NHS 111 helpline:  https://111.nhs.uk/covid-19/
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