Covid 19 Health Assessment

Department: Sales Lettings

First Name

Last Name

Email

Telephone

Address
Please enter your post code below, or enter your address manually

Address 1

Address 2

Town/City

County

Postcode

Are You, Or Any Person, In Your Household Currently Self-isolating Due To COVID-19?: YES NO

Are You, Or Any Person, In Your Household Showing Any Symptoms Of COVID-19?: YES NO

Have You, Or Any Person, In Your Household Been Advised By The NHS That You Are Classed As A Vulnerable Person?: YES NO

Have You, Or Any Person, In Your Household Recovered From COVID-19?: YES NO

Are You Classed As An Essential Worker?: YES NO

Address Of Property You Wish To View Or Have Valued (leave Blank If Entered Above)