For groups comprising people from multiple households, we encourage one questionnaire is completed for each separate household, rather than one questionnaire for the whole group. If you answered NO to the above questions, proceed to the symptom checklist below. Are you, or a member of your household that you are travelling with, experiencing these symptoms? Fever (If you have a thermometer, take your own temperature. You are considered to have a fever if above 37.5⁰C) Have you, or a member of your household that you are travelling with, been directed to a period of 14-day quarantine as a result of being a close contact of someone with coronavirus (COVID-19)? If you answered YES to either of the above questions, then the person required to be in isolation should remain in isolation until you are released, or until their 14-day quarantine period is complete. Guest Coronavirus (COVID-19) Health Questionnaire Are you, or a member of your household that you are travelling with, currently required to be in isolation because you have been diagnosed with coronavirus (COVID-19)? Are you, or a member of your household that you are travelling with been tested in the last 14 days for coronavirus (COVID-19)? We encourage all of our guests to complete this questionnaire on behalf of themselves and household members they are travelling with, before leaving home for their stay. Upon completion, kindly send to healthyvacation@magdalenagrand.com Guest name(s): Check in date: Check out date: YES NO YES NO YES NO YES NO Chills YES NO Cough YES NO Sore throat YES NO Shortness of breath YES NO Runny nose YES NO Loss of sense of smell YES NO Dear Valued Guest,

Guest COVID-19 Health Questionnaire

Download PDF Report

Upload
others
View
2
Download
0

Embed Size (px)

Citation preview

Page 1: Guest COVID-19 Health Questionnaire

For groups comprising people from multiple households, we encourage one questionnaire is completed for each separate household, rather than one questionnaire for the whole group.

If you answered NO to the above questions, proceed to the symptom checklist below.

Are you, or a member of your household that you are travelling with, experiencing these symptoms?

Fever (If you have a thermometer, take your own temperature. You are considered to have a fever if above 37.5⁰C)

Have you, or a member of your household that you are travelling with, been directed to a period of 14-day quarantine as a result of being a close contact of someone with coronavirus (COVID-19)?

If you answered YES to either of the above questions, then the person required to be in isolation should remain in isolation until you are released, or until their 14-day quarantine period is complete.

Guest Coronavirus (COVID-19) Health Questionnaire

Are you, or a member of your household that you are travelling with, currently required to be in isolation because you have been diagnosed with coronavirus (COVID-19)?

Are you, or a member of your household that you are travelling with been tested in the last 14 days for coronavirus (COVID-19)?

We encourage all of our guests to complete this questionnaire on behalf of themselves and household members they are travelling with, before leaving home for their stay. Upon completion, kindly send to [email protected]

Guestname(s):

Check in date: Check out date:

YES NO

Chills YES NO

Cough YES NO

Sore throat YES NO

Shortness of breath YES NO

Runny nose YES NO

Loss of sense of smell YES NO

Dear Valued Guest,

zmorrison

Typewritten text

Phone number:

zmorrison

Typewritten text

Email:

Page 2: Guest COVID-19 Health Questionnaire

If you answered YES to any of the above questions, then the person experiencing symptoms should avoid travelling and remain at home. If you are currently travelling, the person experiencing symptoms should return home, or if you cannot return home immediately, isolate that person from others. The person experiencing symptoms should also get tested for coronavirus (COVID-19).

op symptoms, stay at home and seek further advice from the 24-hour coronavirus hotline on or your general practitioner. If you devel

1 877 WELL (9355)

If you answered NO to all the above questions, you can proceed with your travel arrangements as planned.

Sincerely,

Vinod Bajaj C.H.AGeneral Manager

Thank you for your co-operation.