COVID-19 GUEST QUESTIONNAIRE

The safety and the well being of our guests and Guides are our top priority. Falling in line with our COVID-19 operating procedures and guidelines, below is a mandatory questionnaire that must be filled out before any guided outing to ensure the health and safety standards we have put in place are met. Thanks in advance for helping us keep everyone safe and healthy!

Name

First Name

Last Name

Phone

(###)

###

####

Date

Please enter the date of your scheduled outing.

YYYY

Vaccination

Have you had your COVID-19 vaccination? *Please note this is only for our records and in no way has any influence on your scheduled outing with us.

Testing

Have you recently been tested for COVID-19?

Testing Continued

If you answered yes to the above question please enter the date in which you were tested for COVID-19 below and the results (positive or negative). Write NA if you have not been tested.

Symptoms

Have you experienced any COVID-19 symptoms in the last 14 days such as fever, cough, shortness of breath, sore throat, aches, or decreased energy?

Symptoms Continued

If you answered yes to the above question please describe your symptoms in detail here and the date in which they began. Write NA if you have never had any symptoms.

Exposure

Have you been in contact with anyone who was diagnosed with COVID-19 in the last 14 days?

Exposure Continued

If you answered yes to the above question please leave a detailed description below describing the circumstances in which you were exposed. Write NA if you have not been exposed to COVID-19.

Transportation

What is your intended method of transportation to the location of your scheduled outing?

Question(s)

If you have any questions or concerns regarding COVID-19 and your upcoming outing please enter them in the field below