Information ENTRY QR CODEPLEASE ENTER YOUR DETAILS BELOWSTAFF AUSMAT ID #*Name* First Last My temperature recorded in the last 30 minutes was* < 35.5 35.5 - 37.4 ≥ 37.5 ≥ 37.5 Please self-isolate contact 0428 525 576 I have developed one (or more) of the following symptoms in the last 24 hours since the last check-in. (Fever, cough, sweats/chills, headache, shortness of breath, sore throat, runny nose, diarrhoea, vomiting, loss of smell or taste)* YES - Please self-isolate If answer is YES please call 0428 525 576 NO I am worried about potential exposure risk or near miss in the last 24hr* YESIf answer is YES please call 0428 525 576 NO Any additional comments you would like to add