Godstone Farm Team Survey

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* 1. Please provide your full name (first name and surname)

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* 2. Are you shielding, or considered part of a vulnerable group as determined by government guidance such as clinically extremely vulnerable?

Yes. Please give further information below.

Please type here.

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* 3. Is any member of your household shielding, or part of a vulnerable group as determined by government guidance such as clinically extremely vulnerable?

Yes. Please give further information below.

Please type here.

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* 4. Do you live with anyone who regularly comes into contact with suspected or known COVID-19 cases?

Yes. Please give further information below

Please type here.

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* 5. Do you have any caring commitments as a result of COVID-19, such as a breakdown in normal arrangements of care for children or relatives?

Yes. Please give further information below.

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* 6. How will you travel to work?

Walk or cycle

Drive

Lift from friend or relative

Public Transport

Other

If other, please specify and/or comment if you foresee any issues with travelling to and from work.

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* 7. How is your health & well-being currently?

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* 8. When we have previously re-opened, a considerable number of measures were put in place to protect our team and visitors. This has included a capacity on visitor numbers, pre-booking only, cashless transactions, perspex screens at till points, social distancing markers, enhanced cleaning, one-way systems, changes to staff areas and provision of PPE for the team.

With these in mind, do you have any additional concerns about returning to work this time? Is there anything that would make you feel more comfortable about returning to work or any additional measures you would like to suggest?

Yes. Please give further details below.

Please type here.

Godstone Farm Team Survey

Question Title

* 1. Please provide your full name (first name and surname)

Question Title

* 2. Are you shielding, or considered part of a vulnerable group as determined by government guidance such as clinically extremely vulnerable?

Question Title

* 3. Is any member of your household shielding, or part of a vulnerable group as determined by government guidance such as clinically extremely vulnerable?

Question Title

* 4. Do you live with anyone who regularly comes into contact with suspected or known COVID-19 cases?

Question Title

* 5. Do you have any caring commitments as a result of COVID-19, such as a breakdown in normal arrangements of care for children or relatives?

Question Title

* 6. How will you travel to work?

Question Title

* 7. How is your health & well-being currently?

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* 9. Are there any further comments you'd like to make?