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FWC Covid-19 Entry Health Form
How are you (and your party) feeling today?
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Number of people in your Party
Your answer
Please Check off the following prompts if they are true for you (and your party).
*
My body temperature (and those in my party) is lower than 98.6°F/ 37.5°C
I (We) am not experiencing the symptoms: fever, cough, sore throat
I (We) haven’t been in close contact with a Covid-19 patient in the last 14 days
Required
*
I declare that the info I’ve provided is accurate & complete
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Your Initials
*
Your answer
Send me a copy of my responses.
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