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Do you wish to be added to our mailing list? * YESNO
Please specify the retreat name*
Have you visited any countries covered in the FCO COVID-19 guidance to travellers (either Category 1 or Category 2)? YESNO
In the last 15 days, have you had contact with someone who has visited areas affected by the coronavirus and had symptoms such as cough and / or fever? * YESNO
Please confirm by ticking that you have NOT had any of the following symptoms in the past 15 days? * Temperature rise above 37.2 degreeCoughBreathlessnessWorsening of general physical conditions
Have you or an immediate family member come in close contact with a confirmed case of the coronavirus in the last 14 days? * YESNO
I confirm that I am not in the shielded category * YESNO
I agree to inform Living Saucha if, in the next few days, I find any health problems related to Coronavirus – Covid 19, so that you can carry out further checks with the people I met during our retreat. * YESNO
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