COVID-19 Screening Questionnaire

Your Name *

Company Name *

Email Address *

Contact Number *

Date of scheduled visit *

TMS Contact *

Have you or any of your co-workers that you have been in contact with been abroad in the last 14 days ? *

If yes, please state country.

Has there been any confirmed cases of COVID-19 at your place of work within the last 14 days? *

Are you or any of your co-workers at your place of work experiencing the typical COVID-19 symptoms - this includes fever, persistent cough, or shortness of breath? *

Does your company declare to be aware of and comply with all government guidelines, including contagion & containment measures relating to COVID-19? *

I hereby confirm the above information has been given to the best of my knowledge and i will inform The Mailshop immediately should there be any changes prior to the scheduled visit, i also consent to The Mailshop recording my personal details for the purposes of COVID-19 related tracing for up to 4 weeks from my visit to the site. *

I agree

Message

If you have answered yes to questions 1-3 and NO to Q4 – we will be in touch to confirm next steps.

The personal details contained within this form will be destroyed after a period of 4 weeks.

While on our site we kindly remind you to …

Temperature Check

Anyone entering our premises will need to have their temperature checked.

Face Mask / Covering

Wear a face covering while in the production / warehouse areas.

Wash your hands

Please wash hands regular and use the sanitiser that is freely available around the building.

Social Distancing

Observe social distancing at all times throughout the site and do not enter restricted areas without prior permission.

Help stop the spread