ABOUT
LOCATION
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HOME
Campsite
Farm Shop
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Menu
ABOUT
LOCATION
BOOKING
Prices and Availability
Terms and Conditions
Contact
News
–
HOME
Campsite
Farm Shop
House
CAMPSITE
FARM SHOP
HOUSE
COTTAGE
About
Location
Booking
Prices and Availability
Terms and Conditions
News
Contact
Menu
About
Location
Booking
Prices and Availability
Terms and Conditions
News
Contact
Please complete our
screening form
COVID-19 Screening
Please respond to each of the following questions truthfully and to the best of your ability, answering for the whole of your family.
Are you currently experiencing, or have you experienced in the past 14 days, any of the following symptoms? (Please take your temperature with an oral thermometer before answering.)
Fever
*
Yes
No
Cough
*
Yes
No
Shortness of breath or difficulty breathing
*
Yes
No
Sore throat
*
Yes
No
Recent loss of taste or smell
*
Yes
No
Chills
*
Yes
No
Head or muscle aches
*
Yes
No
Nausea, diarrhoea or vomiting
*
Yes
No
In the past 14 days, have you been in close proximity to anyone who was experiencing any of the above symptoms or has experienced any of the above symptoms since your contact?
*
Yes
No
In the past 14 days, have you been in close proximity to anyone who has tested positive for COVID-19?
*
Yes
No
Have you been tested for COVID-19 and are waiting to receive test results?
*
Yes
No
Have you have tested positive for COVID-19, or are you presumptively positive for COVID-19 based on your health care provider’s assessment or your symptoms?
*
Yes
No
In the past 14 days, have you been on a commercial flight or travelled outside of the UK?
*
Yes
No
In the past 14 days, have you been in close proximity to anyone who has been on a commercial flight or travelled outside of the United Kingdom?
*
Yes
No
By submitting this form I certify that the responses provided above are true and accurate to the best of my knowledge.
*
Name
*
First
Last
Email
*
Enter Email
Confirm Email
Date
*
Thank you for completing this form.
We will be in touch very soon.
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