Casco Bay Kayak COVID-19 Questionnaire
Per the Governor of Maine's executive order business are required to confirm some information to help us prevent the spread of COVID-19. Thank you for your help and cooperation
Email address *
From what State are you traveling? *
Have you Quarantined for 14-days or do you have a negative COVID-19 test result? *
If you live in New Hampshire, Vermont, Connecticut, New Jersey or New York please choose exempt state.
On what date did you arrive in Maine or on what date was the COVID-19 test performed?
Have you had a cough or sore throat? *
Have you had a fever or do you feel feverish? *
Do you have shortness of breath? *
Do you have a loss of taste or smell? *
Have you been around anyone exhibiting these symptoms within the past 14 days? *
Are you living with anyone who is sick or quarantined? *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy