Please kindly fill in the form. This is mandatory since 14/08/20 and we will be unable to serve you until this is completed. Please read and follow safety guidelines below the form. Thank you very much for your cooperation !

Covid-19 Track & Trace

How are you feeling today?

Full Name

Table Number

Phone

Address

My body temperature is lower than 98.6°F/ 37.5°C

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in close contact with a Covid-19 patient in the last 14 days

Time

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Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!