Long Covid – Post-Covid Screening Questionnaire
The purpose of the questionnaire is to identify patients who may benefit from a comprehensive face to face multi-disciplinary assessment if symptoms persist 10-12 weeks after the acute illness.
Please only submit this form if you have been tested positive for Covid in the past 3 months, still have persisting symptoms and have not seen a GP in the past 3 months. The GP will then review your submission and the practice will respond to any significant results. The practice will not contact you if you do no meet the above criteria but the questionnaire results will be saved to your clinical record.