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A safe trip, we are in this together

Questionaire for your visit at SnowWorld

Choose your SnowWorld location

First name:

Last name:

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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

Do you currently have a roommate / family member with a fever and / or shortness of breath?

Yes

Have you had the new Coronavirus (diagnosed with a laboratory test) and has it been diagnosed in the past 7 days?

Yes

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

Are you quarantined because you have had direct contact with someone who has been diagnosed with the new Coronavirus?

Yes

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.

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