Full Name* Mobile Number*Do you currently have any of the following symptoms?*(eg: Fever, Dry Cough, Sore Throat, Runny Nose, Tiredness, Body Aches, Headache, Shortness of breath) Yes No Have you been in contact with a confirmed COVID-19 patient in the past 14 days?* Yes No Have you travelled outside NSW in the past 14 days?* Yes No Are you practicing social distancing (1.5m) and good hygiene by using the sanitiser stations located in Centre?* Yes No
