Corona virus (COVID-19) declaration and general information

Name (mandatory to answer)

Room number (mandatory to answer)

Address (mandatory to answer)

e-mail address (mandatory to answer)

date of moving in to the hotel (mandatory to answer)

please select one! (mandatory to answer)

Have you been to a country other than Hungary in the last 14 days?
YesNo

Do you commute between Hungary and another country?
YesNo

Have you been in contact with anyone from abroad in the last 14 days?
YesNo

Have you been in contact with anyone infected with COVID-19 in the last 14 days?
YesNo

Did you have any COVID-19-like symptoms in the last 3 months?
NotFeverCoughRespiratory catarrhVomiting, diarrhea

Has any of your relatives you live in the same household with been in quarantine due to COVID-19?
YesNo

I agree that the filled form above can be archived.
I hereby declare that my answers represent the truth.
My declaration is effective without my signature
Yes