This is an HTML version of an attachment to the Official Information request 'Covid-19: Procedures for at home Isolation and at home Quarantine.'.

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1982
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1982
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1982
Act 
Information 
Official 
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1982
Act 
Information 
Official 
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Released 

link to page 13
1982
Act 
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Official 
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Released 


1982
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Information 
Official 
the 
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Released 


1982
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1982
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1982
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1982
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1982
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1982
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1982
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1982
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1982
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Document 3
Export of Daily Health Check Survey Questions as at 24 November 2021 
Do you have any of the following symptoms? 
Fever (feeling hot and cold) 
Shortness of Breath 
Cough 
Sore Throat 
Runny Nose 
Loss of sense of smell 
Do you have any of these symptoms? 
1982
Headache 
Act 
Muscular Pain 
Joint Pain 
Nausea/vomiting 
Diarrhoea 
Information 
Other (specify) 
How are you feeling today? 
Select an answer choice from the list 
(same, better, worse)  
Official 
Do you have any health concerns? 
Select an answer choice from the list  the 
(yes/no) 
Have you been eating/sleeping well? 
Select an answer choice from the list 
(yes/no)  
under 
Have you been outside for exercise or fresh air in the last 24 hours? 
Select an answer choice from the list 
(yes/no) 
Please provide any further details 
Question response text area 
Released 
Do you require welfare assistance? 
Accommodation, Animal Needs, Cultural, Disability assistance, Family violence, Financial, Food, 
Medical needs, Prescriptions, Support with children, Transport 
Select an answer choice from the list 
(Yes/No)  
FINISH 


1982
Act 
Information 
Official 
the 
under 
Released 


1982
Act 
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Official 
the 
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Released 


1982
Act 
Information 
Official 
the 
under 
Released 


1982
Act 
Information 
Official 
the 
under 
Released 


1982
Act 
Information 
Official 
the 
under 
Released 


1982
Act 
Information 
Official 
the 
under 
Released