Individual Attendee COVID-19 Risk Assessment Covid-19 Individual Risk Assessment The COVID-typical symptoms are: - High temperature - New cough - New loss of taste and/or smell - New fatigue Full Name* Group *Butterfly Conservation(THANET) Depression Group(THANET) Creative Group (CANTERBURY) Depression Group(CANTERBURY) Creative Group (SHATTERLING) On the Farm(FAVERSHAM) Allotment(DOVER) Depression Group(DOVER) Walking Group (SHEPWAY) Walking Group Today's Date (not the date of the group)* Following assessment are you happy for a socially distanced group to be conducted?*YesNo Have you or anyone in your household experienced any of the Covid-typical symptoms (listed above) in the past 10 days? *Yes- Due to high risk we are not able to offer you a space at this sessionNo- You can attend the group Have you experienced any of the above symptoms but received a NEGATIVE lateral flow test in the last 2 days?*Yes- You can attend the groupNo- Due to high risk we are not able to offer you a space at this sessionNot applicable- I haven't had any of the Covid symptomsSubmitReset
