Staff COVID-19 Symptom Check and Attendance Log

Please complete this survey before the commencement of each shift.
Western Health will securely store this information to support staff attestation, and for COVID-19 contact tracing if required. This information is kept for 28 days and safely discarded. Your information will not be used or disclosed for any other purposes, unless required by or authorised under law to do so.

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You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey, you may click the other button below to continue, which will also remove the value of the option you just selected to allow you to enter it again and continue the survey.
The response has now been removed for the last question for which you selected a value. You may now enter a new response for that question and continue the survey.