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Home
Accommodation
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TAKEAWAYS 2021
Events
Airport Transfers
Conferencing
Specials
Specials
Package Deals
Sustainability
Projects
Culture
Contact
Covid 19
Guest Covid 19 screening form
Date
Date Format: MM slash DD slash YYYY
Name
First
Last
Phone
Email
Fever (>38°C) or a history of fever and chills
*
Yes
No
Cough (acute onset)
*
Yes
No
Sore throat
*
Yes
No
Loss of smell and/or loss of taste
*
Yes
No
Body aches
*
Yes
No
Nausea, vomiting, diarroea
*
Yes
No
Fatigue/weakness
*
Yes
No
In the last 14 days, in your community,were you in close contact or living with any of the following: a. A person with flu like symptoms or b. A confirmed COVID19 person or a person under investigation for COVID?
*
Yes
No
Close contact means were you face-to-face (less than 1 meter) with the person or were you in a closed space (car,taxi or house)with the person for at least 15 minutes
Have you been admitted with severe pneumonia in the last 14 days?
*
Yes
No
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Visit the official COVID-19 government website to stay informed:
sacoronavirus.co.za
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