
Personal Screening Questionnaire
If you have answered YES to any of these questions you should stay at home and inform your
medical practitioner.
If you have answered YES to any of these questions you should stay at home and inform your
medical practitioner.
- Are you currently diagnosed with or believe you may have COVID-19?
- Have you had any of these symptoms of COVID-19 in the past 14 days?
- → High temperature (fever)?
- → A new continuous cough?
- → New unexplained shortness of breath?
- Have you been in contact with a COVID-19 confirmed or suspect case in the previous 14 days?
- Provided direct care for COVID-19 patients in the past 14 days?
- Visited or stayed in a closed environment with anyone with COVID-19 in the past 14 days?
- Travelled together with COVID-19 patient in any kind of conveyance in the past 14 days?
- Arrived in Ireland from another country in the last 14 days – this includes Irish citizens travelling home?
Please stay well off the main road while waiting for your start slot. Obey social distancing at all times.