CAFE REALTY COVID-19                                   SCREENING QUESTIONNAIRE
All parties should answer the property showing questionnaire (seller, buyer, landlord, tenant).
Sign in to Google to save your progress. Learn more
Email *
PROPERTY ADDRESS *
Knowingly been in close or proximate contact in the past 14 days with anyone  who has tested positive for COVID-19 or who has or had symptoms of COVID-19? *
Tested positive for COVID-19 in the past 14 days? *
Experienced any symptoms of COVID-19 in the past 14 days? *
Require seller/lessor to disclose if they become symptomatic and/or they test positive for COVID-19 within 48 hours of the last visit to their property.
Require buyer/lessee to disclose if they become symptomatic and/or they test positive for COVID-19 within 48 hours of the last visit to a property.
Name *
Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy