061 334023 | info@downsyndromelimerick.ie
061 334023 | info@downsyndromelimerick.ie

COVID-19 Questionnaire

Please fill in the questionnaire below with your details.
Please complete within 24 hours prior to arrival at Down Syndrome Limerick.











    Please do not attend the service if you answer Yes to any of the above questions. While we understand this might cause an inconvenience to you, we are acting in the best interest of all of our members.


    Common Symptoms Less Common Symptoms Severe Symptoms
    Fever (temperature > 38C) Change to sense of smell Shortness of breath
    Chills Change to sense of taste Loss of appetite
    Dry cough Nasal congestion Confusion
    Fatigue Conjunctivitis Chest pain/pressure
    Sore throat
    Headaches
    Muscle of joint pain
    Skin rash
    Nausea, vomiting or diarrhoea
    Dizziness

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