COVID-19 COVID-19 Health Questionnaire and CertificationIn order to reduce the risk of potential transmission, we ask you to review and respond to the following five health status questions. Your answers should reflect an accurate description of how you are feeling today. Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Required for contact tracing.Email *Required for contact tracing.Today's Date *Listing address: *Enter the address of the property you would like to view.#1 - Do you have a fever? *YesNo#2 - Do you have a cough, or are you experiencing difficulty breathing or shortness of breath? *YesNo#3 - Have you been in contact or close proximity with a person or persons who has a confirmed diagnosis of the novel coronavirus/COVID-19? *YesNo#4 - Have you traveled in the past 14 days? Travel includes international or domestic travel by train, bus, cruise ship or airplane? *YesNo#5 - Do you have any signs of fever or respiratory illness, including but not limited to, persistent cough, difficulty breathing or shortness of breath? *YesNoIf you answered “Yes” to any of the questions above, we kindly ask that you refrain from touring the property. Thank you for your cooperation.Please identify your role. *BuyerTenantGuestSubmit
