Guest Health Screening Name Email Date Time Have you experienced any of the following symptoms within the last 14 days? Check all that apply. FeverCoughShortness of breathNo symptomsOther If Other, please specify: Have you or anyone in your household visited an area with ongoing community spread of COVID-19? NoYes Location: Has anyone in your household been sick, or experienced symptoms of COVID-19 in the last 14 days? NoYes Have you or anyone in your household left the country in the last 14 days? NoYes Location: DECLARATION I hereby declare that this information is accurate and true to the best of my knowledge, and that I am responsible for reporting any changes to Sandpiper Resort Management immediately GM@SANDPIPERRESORT.CA Comments