Screening questionnaire for Covid-19

We'll ask you a few questions and tell you what to do next.

To protect yourself and others, do not go to a GP, pharmacy or hospital.

Do you have any of the following clinical symptoms?

a temperature of more than 37.8C (100F)
OR, a new and persistent cough
OR, anosmia – this is the loss of or a change in your normal sense of smell. It can also affect your sense of taste as the two are closely linked
OR, shortness of breath

Are you age 70 years or over, have a long term health condition or are you pregnant?

Do you have a serious health condition and do you fall into an extremely vulnerable group?

Have you had contact with a confirmed positive Coronavirus case?

Was this confirmed contact in a healthcare setting?

Were you within 2 metres of the possible case for longer than 15 minutes?

Were you wearing personal protective equipment?

PCR test required

If you develop any of the following emergency warning signs for COVID-19 please seek medical attention immediately by calling 999.

If you develop symptoms during this time, call the Covid 111 Service for further advice.

You should take extra care:

Public Health are strongly advising people with serious underlying health conditions to stay at home and not to go out.

This is because they are at very high risk of severe illness from coronavirus (COVID-19).

You should rigorously follow shielding measures in order to keep yourself safe.

You don't need to take any further action at this stage.

Please continue to wash your hands regularly, avoid touching surfaces and your face and avoid any unnecessary gatherings.

If you develop a fever for persistent cough, please contact our COVID 111 Service.

If you develop any symptoms then you must stay at home (self-isolate) for 14 days and continue self-isolation until symptom free.

If you develop any symptoms you should also call the Covid 111 Service for further advice.