COVID-19 Visitor Questionnaire

COVID-19 Visitor Questionnaire

The safety of our employees, customers, families and visitors remain The Stylebar overriding priority. As the coronavirus disease 2019 (COVID-19) outbreak continues to evolve and spreads globally, The Stylebar are monitoring the situation closely and will periodically update company guidance based on current recommendations from the Centres for Disease Control and Prevention and the World Health Organization.

To prevent the spread of COVID-19 and reduce the potential risk of exposure to our workforce and visitors, we are conducting a simple screening questionnaire. Your participation is important to help us take precautionary measures to protect you and everyone in this building.

Thank you for your time.

Visitor Name

Visitor Contact Number

Visitor Email

Have you had close contact with or cared for someone diagnosed with COVID-19 within the last 14 days? Have you had close contact with or cared for someone diagnosed with COVID-19 within the last 14 days? Yes No

Have you experienced any cold or flu-like symptoms in the last 14 days (to include fever, cough, sore throat, respiratory illness, difficulty breathing)? Have you experienced any cold or flu-like symptoms in the last 14 days (to include fever, cough, sore throat, respiratory illness, difficulty breathing)? Yes No

Is anyone in your household currently ‘self isolating’ with symptoms of COVID-19 Is anyone in your household currently ‘self isolating’ with symptoms of COVID-19 Yes No

If the answer is “yes” to any of the questions, access to the facility will be denied.