This Questionnaire is an essential step in ensuring we can protect you and others from the risks of Covid-19 during this pandemic.

Please complete before your session, failure to do so may require us to move or cancel your appointment.

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Your Contact Details

This questionnaire has to be completed for anyone who is attending viewing.

Maximum 2 adults are allowed to view. Children below 15 years of age are not allowed to view.

Please note we may do a temperature check before the appointment.

Those who refuse to wear mask (unless they present exemption card) will be refused an appointment.

COVID-19 Declaration

Please read the symptoms listed below:
  • A new, continuous cough
  • A high temperature
  • Unusual shortness of breath or difficulty breathing
  • A loss or change of taste or smell


  • Chills
  • Muscle pain* without explanation
  • Headache* without explanation
  • Sore throat
  • Diarrhoea
  • Vomiting
  • Pain or pressure in the chest
  • Episodes of confusion

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