btm covid-19 test questionnaire
For Arriving passenger

Basic Information
* All field required

Health Questionnaire

In the last 21 days have you had contact with anyone who was not feeling well with the following? (please tick yes or no)
Fever?
No YES
Cough?
No YES
Difficult in Breathing?
No YES
General feeling unwell?
No YES
Sneezing?
No YES
Other Symptoms of Flu and Cold?
No YES

In the last 21 days did you have any of the following (Please tick yes or no)
Fever?
No YES
Cough?
No YES
Difficult in Breathing?
No YES
General feeling unwell?
No YES
Sneezing?
No YES
Other Symptoms of Flu and Cold?
No YES

Have you taken any of the following medications in the last 24 hours?
Paracetamol, Ibuprofen, Or Other Pain relieving Medications?
No YES
Antibiotics ?
No YES
Flu Or ‘Common’ Cold Medications ?
No YES
Antiviral Drugs ?
No YES

COVID Test Details
Pre-boarding
COVID Test Details
Post-Arrival COVID Test Details