Coronavirus Return to Work Home / Coronavirus Return to Work The safety of our team is incredibly important to us. In the interest of everybody at Burns we have set up a short, simple and easy to complete questionnaire. Please complete this honestly over the weekend so we can suitably plan our reopening. Please enable JavaScript in your browser to complete this form.What is your Full Name? *Are you prepared to return to work? *YesNoCan you still commit to your full contractual hours? *YesNoCan you physically continue with your contractual duties? *YesNoCan you mentally continue with your contractual duties? *YesNoWithin the last 7 days have you experienced: *Dry cough, FeverAny other coronavirus symptomsNone of the aboveWithin the last 14 days have you or someone within your household been in contact with a person with a confirmed Coronavirus case? *YesNoHave you read our returning to the workplace health and safety assessment? *YesNoDo you have any additional health and safety requests or recommendations?Leave blank if notDo you have any other comments or situations you would like to make us aware of?Leave blank if notEmailSubmit