Adertek Baby & Kids - Health Declaration Form

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Dear Visitor,

In view of the current COVID-19 situation, we will require all visitors to fill up a simple health declaration form before entering the showroom.

Thank you for your kind understanding.

Name *

Contact number *

Have you travelled overseas in the last 14 days prior to your visit today? *

1 point

Yes

Do you have any of the following symptoms: fever, cough, runny nose, sore throat or shortness of breath? *

1 point

Yes

Are you diagnosed or suspected to have any of the following: pneumonia or COVID-19 infection? *

1 point

Yes

Did you have contact with any case of COVID-19 in the last 14 days? *

1 point

Yes

Did you visit any hospital in the last 14 days? *

1 point

Yes

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