COVID-19 charter passenger questionnaire for contact tracing

Young's Bus Service supports COVID-19 safe business practices including the implementation of social distancing (where possible) and contact tracing. The information you provide us is stored securely and only provided to third parties as required by law.

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* 1. Full name

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* 2. Address you ordinarily reside at

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* 3. Contact telephone number

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* 4. Email address

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* 5. Have you ever been tested for COVID-19?

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* 6. Do you currently have flu like symptoms?
(Examples: fever, cough, sure throat, runny nose, shortness of breath)

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* 7. Have you, or anyone in your group, returned from overseas travel in the past 14 days?

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* 8. Have you, or anyone in your group, visited a COVID-19 hotspot in the past 14 days?

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* 9. Have you, or anyone in your group, come into contact with a person who has a confirmed case of COVID-19?

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* 10. I declare the information I have provided is correct.

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