What is this for?
The results of this form will help us to identify and provide support to the people and areas in Doncaster most affected by Coronavirus.
What is it going to cost?
There is no cost to using this form.
What we need from you
We need you to answer a few short questions. You do not need to register to fill in the form, simply follow the link to 'CONTINUE WITHOUT REGISTERING".
You will be asked if you are displaying symptoms of Coronavirus which can be found on the NHS website.
By completing this form you will be agreeing to us using your information as explained in our privacy notice.
What you should expect from us
We are not likely to be able to respond to each person individually but we will use this information to identify where support is most needed.
You can view the most up-to-date Coronavirus Guidance at https://www.doncaster.gov.uk/coronavirus.