Covid-19 Questionnaire | Condo Support Group

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COVID-19 INFO

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andrew@condosupportgroup.com

416-881-8560

Covid-19 Health Declaration

Full Name

Last Name

Phone

Email

Building Visiting

I haven’t been in close contact with a Covid-19 patient nor have I travelled outside of the country in the past 14 days

I do not suspect nor do I have Covid-19 or any related flu-like symptoms such as; fever, cough, difficulty breathing, muscle aches, fatigue, headache, sore throat, decreased/loss of smell or taste, pink eye, nausea/vomiting or runny nose

Initials

Date

Please note that if you cannot confirm the above requested information, access to this site is not permitted.

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

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