Rhino Park Private Hospital Covid-19 Self Assessment

Please complete this form to assess your current Covid-19 risk

Dry cough

Shortness of breath

Sore throat

Chills and/or fever (37.5°C or more)

Diarrhoea and/or vomiting

Loss of taste and/or smell

Chest pain

Body aches and/or physical weakness

Headaches

Did you have contact with a Covid-19 suspected case?

Did you have contact with a Covid-19 confirmed case?

Did you work in a healthcare facility where Covid-19 patients are treated?