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If you´ve had lessons with us, it would be really appreciated if you would leave your review comments for other pupils to read.



Many thanks

Dave Hills



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The purpose of this Assessment form

The purpose of this Assessment form is to ensure that both yourself as a candidate, and myself as your Driving Instructor, are fully informed of any health conditions or concerns you have regarding personal safety during driving lessons.

It is also to ensure any questions you have are answered and necessary planning and equipment are put in place before we commence all Driving Lessons.

If applicable, please take the time to discuss this form with your family members or those in your household before completing this form to ensure everyone in your home understands the questions and that your answers are accurate.

PLEASE NOTE:

YOU MUST NOTIFY ME IMMEDIATELY IF YOU OR ANY MEMBER OF YOUR IMMEDIATE HOUSEHOLD, SOCIAL CIRCLE OR WORK GROUP DEVELOP COVID-19 SYMPTOMS AND NEED TO SELF ISOLATE.

Visit here for advice on Covid 19 symptoms

You MUST NOT attend any driving lessons or tests if you have any Covid-19 symptoms

You WILL NOT BE CHARGED a short cancellation fee if the cancellation is due to Covid-19 If I turn up and your showing symptoms, I will cancel the lesson, and you will be charged.


HEALTH




YES NO


YES NO


YES NO



PERSONAL PROTECTIVE EQUIPMENT (PPE)

You must wear a face covering and gloves during the lesson.


NB If ‘YES’, you must bring your own products to clean your hands and keep you safe before touching the vehicle or controls in the car.

YES NO





YES NO

I will need to discuss a plan with you prior to lessons to work around this issue

YES NO


YES No

CAR CLEANLINESS

I will be Sanitising the car between every lesson and before and after driving tests with anti-virus grade sanitiser. This means I will be wiping down all touchable surfaces with this sanitiser in spray and/or wipes form. Surfaces include, door frames, door handles inside and out, controls (signals, gear stick, parking brake, bonnet release), mirrors, seatbelts, seat adjusters and seats.



YES NO










Note : Personal information you submit on this form is not shared
or permenantly stored.


v 3.2
Standard rates
Learn at a pace that suits YOU



Quality tuition to give YOU a great chance to pass 1ST TIME!
£35.00


Liam passed 3rd of November 2023. Well done.
Liam lowe

Angie passed 27th of November 2013.
Angie Hughes


Collingwood Learner Driver Insurance


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