COVID Check-inThis form collects information from you to allow us to meet government reporting requirements regarding COVID-19 Name* First Last Email* Mobile*Consent* I confirm- I have not been overseas or in close contact with anyone who has been overseas in the last 14 days - I have no symptoms of coronavirus - I have not had a positive test result for coronavirus in the last 14 days - I have not been in contact with anyone with a confirmed coronavirus case in the last 14 days - I have not been asked to isolate at home in the last 14 days.