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Hoofdnavigatie
Landgraaf
Zoetermeer
Amsterdam
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Questionnaire for groups and business visitors
Questionaire for your visit at SnowWorld
Choose your SnowWorld location
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Landgraaf
Zoetermeer
Amsterdam
Rucphen
Terneuzen
First name:
Last name:
E-mailadres
Phone number:
Datum van bezoek
Tijd van reservering:
Did you have one or more of the following (mild) complaints in the past 24 hours or at this time: cold, cough, shortness of breath and / or fever (from 38 degrees Celsius)?
Yes
No
Do you currently have a roommate / family member with a fever and / or shortness of breath?
Yes
No
Have you had the new Coronavirus (diagnosed with a laboratory test) and has it been diagnosed in the past 7 days?
Yes
No
Do you have a roommate / family member with the new Coronavirus (determined by a laboratory test) and did you have contact with this roommate / family member less than 14 days ago while he / she still had complaints?
Yes
No
Are you quarantined because you have had direct contact with someone who has been diagnosed with the new Coronavirus?
Yes
No
I hereby confirm that I have truthfully entered the above information.
I agree to the Terms and Conditions
Read the
Terms and Conditions
before you agree
Yes, I authorize SnowWorld to provide my name, telephone number and e-mail address on request to the relevant authorities (such as the GGD or RIVM) to prevent and combat COVID-19. Under no circumstances will SnowWorld use your data for marketing purposes and SnowWorld will never provide this data to third parties outside the relevant authorities.