Title Page
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Conducted on
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Prepared by
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Location
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Did you visit any other locations besides your home outside of work?
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Please type the location and approximate time:
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Were you in contact with anyone outside your home bubble? If so, please name:
Movement Tracing - per location
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Please enter your next location:
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Please enter time of arrival:
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Are you in contact with anyone outside your work bubble? (within 1m of another person)
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If yes please name this person or people: