Offsite Meeting Questionnaire

Aintree Group team members, please confirm:*

This meeting has been approved by Shane and/or Linda.
N/A - Approval not required (FOR PARTNERS ONLY)

Please get approval for this meeting before sending the screening questionnaire to your meeting host.

Thank you for confirming.

TEAM MEMBERS: Please click "Submit to Meeting Host" at the bottom of the questionnaire, and enter your visitors email address for them to receive and complete the screening questionnaire.

MEETING HOSTS: Please complete the screening questionnaire below and then click "Complete Questionnaire" to submit.

Screening Questions - Meeting Host to Complete

This questionnaire is to be completed by the meeting host before an Aintree Group team member enters the premesis.

Host Name:*

First Last

Host Mobile Number:*

Host Email Address:*

Company/Organisation:*

Industry:*

Please specify if you work in the following industries: hospital, health care, aged care, airline or emergency services.

Name(s) of Visitor(s)*

Please provide the name(s) of the Aintree Group team member(s) attending the meeting on your premisis.

Names of all other meeting attendees:*

Meeting Location*

Business Name Street Address City State / Province / Region ZIP / Postal Code Country

Date of Meeting:*

Meeting Start Time:*

Estimated Meeting End Time:*

Have you returned from overseas in the last 14 days?*

Yes
No

Have you completed the necessary testing and other requirements when returning to Victoria from overseas?*

Please click here for the requirements for returning to Victoria after being overseas.

Yes
No

What overseas country (or countries) have you returned from?*

Have you been notified that you attended a COVID-19 exposure site in Victoria or interstate in the last 7 days?*

Yes
No

Have you been deemed a "close contact" of a confirmed COVID-19 case in the last 7 days?*

Yes
No

Have you taken and tested negative on all your close contact required RATs since being classified as a close contact?*

Yes
No

Have you experienced any cold or flu-like symptoms in the last 7 days?*

Including: fever, cough, sore throat, respiratory illness, difficulty breathing.

Yes
No

Has anyone in your household experienced any cold or flu-like symptoms in the last 7 days?*

Including: fever, cough, sore throat, respiratory illness, difficulty breathing.

Yes
No

Are you or one of your household members awaiting results of a COVID-19 test?*

Yes
No

Additional Notes:

Please provide any additional information that you think may be relevant to this screening questionnaire.

Self-Declaration*

I declare that the information given in the questionnaire above is correct.

Date Signed:*

Based on your responses to the questionnaire, you will not be able to conduct your meeting in person. Please click the "Complete Questionnaire" button below and someone will be in touch to arrange a virtual meeting instead.

Please click the "Complete Questionnaire" button below.

Thank you for taking the time to ensure everyone's safety.

Offsite Meeting COVID-Safe Questionnaire

Screening Questions - Meeting Host to Complete