Covid lockdown 2021

Student name

Student date of birth

What campus do you attend?

Select or enter value

When was the last date you attended the college in person?

Have you been contacted by contact tracers and/or been asked to Quarantine?

Yes I have been asked to quarantine

What date did you start quarantine?

What date will you end quarantine?

This will include those who live with people who attended exposure sites.

Yes, I am in isolation.

What date did you start isolation?

What date will you end isolation?

Yes i have been tested in the last 2 weeks

Date of test

What were your results?

Negative

Positive

Send me a copy of my responses

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