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Full Reopening of School - September 2020
Staff survey for full reopening of school in September 2020 following COVID 19 closure
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Name
:
A red asterisk (*) indicates required questions.
Do you have any underlying health conditions or other characteristics that put you at greater risk of serious illness if you contract COVID-19?
*
Yes
No
If you replied yes to question 1 please specify whether you are a moderate risk (clinically vulnerable) or high risk (clinically extremely vulnerable). A list of conditions and characteristics that may put you in the moderate risk (clinically vulnerable) or high risk (clinically extremely vulnerable) categories is available at
https://www.nhs.uk/conditions/coronavirus-covid-19/people-at-higher-risk/whos-at-higher-risk-from-coronavirus/
I
If you answered yes to question 1 do you have medical advise/evidence to confirm your are at higher risk?
Yes
No
Is anyone in your household in the high risk (clinically extremely vulnerable) category?
*
Yes
No
Have you been advised against attending the workplace by a medical professional?
*
Yes
No
If you have answered yes to question 5 please forward the evidence to the HR Manager.
Yes
No
Do you, or any members of your household, currently have or have recently had (in the last 4 weeks), symptoms that may be caused by COVID-19?
*
Yes
No
Have you recently (in the last 2 weeks) been contacted by NHS Test & Trace and advised to self-isolate?
*
Yes
No
Have you recently (in the last 2 weeks) visited a country that requires a 14-day self-isolation on return to the UK?
Further information is availableHave you recently (in the last 2 weeks) visited a country that requires a 14-day self-isolation on return to the UK?
*
Yes
No
Do you believe that returning to the workplace, or visiting third party premises for work would cause you high levels of fear or anxiety?
*
Yes
No
If you have answered yes to question 10 please provide specific concerns below or contact Louise Green in the first instance.
Are you able to commute into the workplace without needing to use public transport or car sharing ?
*
Yes
No
Are you allergic to any type of cleaning or disinfectant product?
*
Yes
No
If you answered no to question 13 please provide further details.
Do you agree to participate in the track and trace scheme, informing either the Head or Bursar if you have been contacted by the scheme or if you come into contact with COVID19.
*
OSH
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