Health Declaration

Have you or your household members been in contact with a confirmed COVID-19 patient in the past 14 days?

YES

NO

Do you or your household members have the following symptoms (Fever / Cough / Flu / Runny nose / Sore throat / Headache / Body aches) ?

YES

NO

Have you or your household members travelled overseas (including Malaysia) in the last 14 days?

YES

NO