The Pearl of Seneca Lake B&B

COVID-19 Disclosure Form

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In order to provide a safe environment for our guests, we are asking that everyone examine their health, then read and circle the Yes or No questions below.   Please bring the signed copy when you check into the Pearl of Seneca Lake B&B.   Looking forward to having you with us.
Thanks!

Peter & Mary

Do you have a fever or above normal temperature? Yes No
Have you experienced shortness of breath or had trouble breathing? Yes No
Do you have a dry cough? Yes No
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Do you have a runny nose? Yes No
Have you recently lost or had a reduction in your sense of smell? Yes No
Do your have a sore throat? Yes No
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Have you been in contact with someone who has tested positive for COVID19? Yes No
Have you traveled outside the U.S. by air or cruise ship in the past 14 days? Yes No
Have you traveled within the U.S. by air, bus or train within the past 14 days? Yes No

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Thank you so much.   We appreciate your cooperation as we strive to make The Pearl of Seneca Lake a safe place for everyone.

Signed___________________________________________________________
Date___________________________

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