The information you provide is important in managing the risk of COVID-19 transmission. The Infectious Diseases Act requires a person who has reason to suspect that he is a case or carrier of COVID-19, or has had contact with a person with COVID-19, to act in a responsible manner to not expose other persons to the risk of infection by the disease.

Information provided here is strictly for the above mentioned purpose.

Name

Email

Contact Number

Showroom

Date of Visit

Time of Visit

Have you travelled abroad (i.e. to any countries outside of Singapore) in the past 14 days? NoYes

Do you have flu-like symptoms (e.g. fever, cough etc.)?
NoYes

Did you, in the past 14 days, come in close contact with someone who
(i) Is a confirmed COVID-19 case; OR (ii) Is part of a COVID-19 cluster?
NoYes