COVID-19 Health & Travel Declaration

Information collected is strictly private and confidential and will only be used for contact tracing.
All fields are required.

Particulars



Self-Declaration

Outlet

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

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?

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

Temperature (°C)