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Ensto Renley Covid-19 Staff/Visitor/Contractor Questionnaire

The information recorded in this survey is for Covid-19 tracking information only and will not be used for any other purpose.

If you respond YES to questions 4, 5, 6 or 7 you MUST exclude yourself from site. However we ask that you complete and submit this survey for our records
1.Contact Tracking Information(Required.)
2.What is your purpose on-site today at Ensto Renley Dunboyne?(Required.)
3.Who are you visiting today?(Required.)
4.Have you visited any of the countries outside Ireland excluding Northern Ireland in the last 3 weeks?(Required.)
5.Are you suffering any flu like symptoms/symptoms of coronavirus covid-19?(Required.)
6.Are you experiencing any fever like symptoms or a high temperature?(Required.)
7.Are you experiencing any difficulty in breathing, shortness of breath?(Required.)
8.When on site do you agree to comply with processes/procedures regarding infection control, i.e. hand washing/hand sanitising and general coughing/sneezing etiquette?(Required.)