Guest Covid-19 Questionnaire

Form

We are taking every step we can to ensure that we continue to offer the most memorable experience to our guests whilst ensuring compliance with the government guidelines. It is a joint responsibility between our guests and hotel team and we therefore ask for your help in ensuring Sheen Falls Lodge remains COVID19 free. We require the below personal data for the purposes of maintaining the safety of our guests, staff, and locality. The information on this form is strictly confidential and it will be held securely following GDPR* guidelines for 28 days under Failte Ireland guidelines.

*General Data Protection Regulation
ALL QUESTIONS MUST BE ANSWERED
*denotes mandatory
Guest name:*
First Last
Confirmation number:*
Email address:*
Mobile no.:*
Date*
Date Format: DD slash MM slash YYYY
Please answer YES or NO
Have you had any Covid-19 symptoms now or in the past 14 days?*
- YES
- NO
If vou have answered 'YES', vou are required to contact your GP
Have you been diagnosed with confirmed COVI D19 in the last 14 days?*
- YES
- NO
Do you live in the same household/or have you been in close contact with someone who has symptoms of COVI D 19 and /or who has been in isolation within the last 14 days (ie. Less than 2 meters for more than 15 minutes accumulative in one day)*
- YES
- NO
Are you a visitor to the Island of Ireland** and or returning from another country within the last 14 days, that is not listed as a green country**?*
If 'YES' please state the country
- YES
- NO
**The island of Ireland includes The Republic of Ireland, Northern Ireland and its subsidiary islands only. For the updated Green Country list please visit:

Green Country list

If you have left the Island of Ireland for any period of time you are required to self-isolate for a period of 14 days upon returning into the country. We respectfully ask all guests to follow HSE guidelines during their stay at Sheen Falls Lodge, including wearing a face covering when transiting around the public areas of the hotel and upon entering/leaving all dining rooms.

HSE (Health Service Executive) guidelines can be found at:

Health Service

We recommend our guest download the Covid19 Tracker App

Covid Tracker
I confirm that I have responded truthfully to the above questions based on my current condition and will advise Sheen Falls Lodge if my situation changes.*
- Yes
All information provided in this form is treated in line with the General Data Protection Regulations
View Privacy Policy.

Guest Covid-19 Questionnaire

Form

ALL QUESTIONS MUST BE ANSWERED

Please answer YES or NO