If you attended one of our workshops or milongas in the last three weeks and you are now suffering any of the following symptoms:
| verkoudheid niezen hoesten keelpijn moeilijk ademen koorts (plus 38°C) plotseling minder kunnen ruiken of proeven |
cold like complaints sneezing coughing sore throat breathing difficulties fever (over 38°C) sudden loss of smell or taste |
-OR-
you have been diagnosed with corona, or someone that you share a household with has been diagnosed with corona, please complete the following details: