DAILY COVID-19 QUESTIONNAIRE PIXIE WONDERLAND DAILY QUESTIONS FOR CHILDRENDAILY QUESTIONS FOR ADULTS Daily questions for CHILDREN:What is your name? How old are you? How are you feeling today?Are you feeling well?* Yes No Do you feel hot?* Yes No Do you have a cough?* Yes No Is it easy for you to breathe?* Yes No Do you have a sore throat?* Yes No Daily questions for ADULTS:Name* First Last Reason for entering the premises:* Parent Carer Staff Visitor Within the last 14 days have you been in contact with someone confirmed to have Covid-19?* Yes No Do you currently have any of the following symptoms?fever* Yes No cough* Yes No sore throat* Yes No redness of eyes* Yes No shortness of breath* Yes No difficulty breathing* Yes No PLEASE NOTE: if you answered yes to any of these questions, please REMAIN at home. Please indicate your current temperature: Confirmation* I declare the above information to be true and correct.
