Please complete this questionnaire before 4pm on Thursday Oct 14th in advance of your attendance at the 2021 Entrepreneur Experience

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* 1. Your Name:

Please answer all questions below - tick yes or no.

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* 2. Have you visited any countries outside Ireland in the last 14 days?

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* 3. If Yes where?

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* 4. Are you suffering from any flu-like symptoms or symptoms of Coronavirus/Covid-19?

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* 5. Are you experiencing any difficulty in breathing, shortness of breath?

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* 6. Are you experiencing any fever-like/Temperature symptoms?

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* 7. Did you consult a Doctor or other medical practitioner within the last 14 days ?

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* 8. How are you feeling Healthwise?

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* 9. Have been around someone with symptoms of Covid-19 in the last 14 days?

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* 10. Is a member of your household self-isolating?

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* 11. Are you in a period of self-isolation and/or cocooning under the current Health Policy Rules?

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* 12. Are you in a high-risk health category?

If you have answered “YES” to any of the questions above or have indicated to us that you have symptoms of COVID19 you should not attend the 2021 Entrepreneur Experience.
NOTE: When in Ballymaloe, please adhere to standard processes & procedures regarding infection control including mask wearing when walking around inside, social distancing, hand washing/hand sanitising and general coughing/sneezing etiquette.

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