Self-Declaration Form for Visitors to Unilever Four Acres

To prevent the spread of COVID-19 in our community and reduce the risk of exposure to our staff and visitors, we are conducting a simple questionnaire via the form below.

Your participation is important to help us take precautionary measures to protect you and everyone in this building.
Thank you for your time.

Name

Company

Business Email Address

Do you have flu-like symptom(s)?

e.g. fever, sore throat, headache, runny nose etc.?

Have you been in contact with a confirmed / suspected CoVid19 patient in the past 14 days?

Have you been to any of the travel restricted countries (see specific list) in the past 14 days?

Our first priority is the wellbeing of our community. The HR Innovation Roundtable will take place as planned on March 19th. With all members traveling from within the U.K. we are happy to confirm there are no attendees travelling in from countries which the Centre for Disease Control and Prevention (CDC) and the World Health Organization (WHO) has assigned a travel health notice.

High Risk Countries – Last updated on 03/03/2020
This list will be updated regularly based on any changes to WHO, CDC and UK Government advice.

·        China
·        Thailand
·        Japan
·        Republic of Korea
·        Hong Kong
·        Macau
·        Taiwan
·        Singapore
·        Malaysia
·        Vietnam
·        Cambodia
·        Laos
·        Myanmar
·        Iran
·        Italy

Should you have any question or concerns, please contact Shane Kemp at shane@hrdleaders.com or +44 (0) 7938 628 235.