Strickland Arms Guest Screening Questions

Guest Name ____________________________________________________

Dates you plan to be with us_____________________________________

  • Have you traveled to any of these locations in the last 14 days?
    • China
    • Iran
    • South Korea
    • Italy
    • Japan
    • New York City
    • New Orleans
  • Have you had any of these symptoms in the last 14 days?
    • Fever greater than 100
    • Difficulty breathing
    • Cough
  • Within the last 14 days have you had contact with anyone who has shown the above systems or who was confirmed COVID-19?
  • Are you currently experiencing fever over 100, difficulty breathing or cough?
  • Does your job bring you regularly in contact with the public and if so, have you been working in the last 14 days?
  • When in contact with those that you do not live with have you been observing social distancing and wearing a mask?
  • While staying with us do you plan to be going out to public places?