Do you have any flu symptoms such as headaches, running nose, sore throat, cough or fever?
Has anyone in your home travelled overseas in the past two weeks?
Do you have hand sanitizer and hand soap on hand?
Have you been in contact with anyone currently carrying COVI-19
Is anyone else in your household self isolating?
Have you been in contact with anyone currently self isolating?
Are you 70 or over?
- Recent organ transplant
- Cancer and undergoing cancer treatment
- Cancer of the blood or bone marrow
- Severe asthma
- Cystic Fibrosis
- Severe kidney disease (on dialysis)
If any of the above is selected, then person should self isolate.
Are you pregnant?
- Chronic Heart disease / Heart Failure
- Chronic Kidney disease
- Chronic Liver disease
- Parkinsons Disease
- Motor neurone disease
- Cerebral Palsy
- Sickle cell disease
- Removed Spleen
- Weakened immune system from HIV or AIDS
- Weakened immune system from steroids
- Weakened immune system from Chemotherapy
- Overweight (BMI of over 40)
Please write in here any other condition that may be relevant?
If any of the above have been selected, then social distancing is recommended