Optometry Student Covid-19 Declaration Optometry Student Covid-19 Screening Please complete the following declaration before you attend your on-campus or clinic session in person. This information is held by School of Optometry and Vision Science. To keep you safe we are performing daily COVID-19 related screening of all our students scheduled for on-campus activities Student first name(s) * Student last name * In the last 48 hours have you had any of the following new or worsening symptoms? Please choose from the list below Fever or chills Cough Shortness of breath or difficulty in breathing Fatigue Muscle or body aches Headache Diarrhoea Sore throat Sneezing / runny nose / head cold / congestion Loss of smell / taste Nausea or vomiting None of the above In the last 7 days have you: Had a positive Covid test Had a 'Household Contact' (as defined by MOH) with someone who has COVID-19? None of the above This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Submit
