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?YesNo
Have you experienced shortness of breath or had trouble breathing?YesNo
Do you have a dry cough?YesNo
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Do you have a runny nose?YesNo
Have you recently lost or had a reduction in your sense of smell?YesNo
Do your have a sore throat?YesNo
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Have you been in contact with someone who has tested positive for COVID19?YesNo
Have you traveled outside the U.S. by air or cruise ship in the past 14 days?YesNo
Have you traveled within the U.S. by air, bus or train within the past 14 days?YesNo

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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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