Covid 19 Screening

    Are you fully vaccinated (please select appropriate answer)

    Are you, or anyone in your family feeling unwell with flu-like symptoms such as a sore throat, fever, cough, shortness of breath, or recent loss of taste or smell?
    YesNo

    Have you been to the North Island in the last 14 days?
    YesNo

    Do you, or a close contact, have a probable or confirmed COVID-19 case?  
    YesNo

    Have you, or a close contact, been asked to quarantine/self isolate over the past 14 days?  
    YesNo

    if yes – has the quarantine period now finished?  
    YesNo

    In the past 14 days, have you worked on an aircraft or shipping vessel or worked in a facility visited by international arrivals? 
    YesNo

    Have you or a close contact of yours visited a location of interest in the last 14 days? (if you are unsure please refer to the MOH website)
    YesNo

    Do you or a close contact have any underlying health concerns or reasons that you would be deemed more vulnerable if you were to become ill? 
    YesNo

    When was your last vaccine/do you have any booked? (this applies to any vaccine or immunisation) some treatments require precautionary wait times between any vaccine/immunisation and treatment.