Dominica Health Questionnaire
Please complete the form below

• The fields marked with a red asterisk are mandatory.



Demographic Information


Flight/Route Information



Add Country

Medical Information


Other Social/Behavioural Information


PCR/RD Test


Terms and Conditions


By completing and submitting this questionnaire, you are agreeing to comply with and be bound by the following terms and conditions -

• All passengers (i.e. nationals and non-nationals) must be tested using a Rapid Test Kit for COVID-19 except those who are under 5 years old.
• The procedure for rapid testing will require drops of blood.
• In order to obtain a result, you are required to wait in the terminal for 15 minutes minimum.
• Based on the result, either you will be directed to proceed to the Immigration booth or to the secondary screening area (within the airport terminal).
• All IgM positive individuals will be further tested using the PCR method in the secondary screening area.
• The PCR procedure includes the collection of swab specimens through your nose and mouth.
• If the PCR test-result is positive, then you will be placed in the quarantine/COVID treatment centre for the next 10 days based on your clinical presentation.
• All costs incurred during the period of quarantine/treatment including PCR test must be paid prior to discharge.
• All nationals and residents are mandated to home quarantine for 14 days upon arrival.
Penalties will be applied for falsifying any information provided in the questionnaire and disregarding quarantine process.

Staff

  • 8
    ...

    Bob Nilson

    Project Manager
  • ...

    Nick Larson

    Art Director
  • 3
    ...

    Deon Hubert

    CTO
  • ...

    Ella Wong

    CEO

Customers

  • 2
    ...

    Lara Kunis

    CEO, Loop Inc
    Last seen 03:10 AM
  • new
    ...

    Ernie Kyllonen

    Project Manager,
    SmartBizz PTL
  • ...

    Lisa Stone

    CTO, Keort Inc
    Last seen 13:10 PM
  • 7
    ...

    Deon Portalatin

    CFO, H&D LTD
  • ...

    Irina Savikova

    CEO, Tizda Motors Inc
  • 4
    ...

    Maria Gomez

    Manager, Infomatic Inc
    Last seen 03:10 AM
Bob Nilson 20:15 When could you send me the report ?
Ella Wong 20:15 Its almost done. I will be sending it shortly
Bob Nilson 20:15 Alright. Thanks! :)
Ella Wong 20:16 You are most welcome. Sorry for the delay.
Bob Nilson 20:17 No probs. Just take your time :)
Ella Wong 20:40 Alright. I just emailed it to you.
Bob Nilson 20:17 Great! Thanks. Will check it right away.
Ella Wong 20:40 Please let me know if you have any comment.
Bob Nilson 20:17 Sure. I will check and buzz you if anything needs to be corrected.

General

System

General Settings

  • Enable Notifications
  • Allow Tracking
  • Log Errors
  • Auto Sumbit Issues
  • Enable SMS Alerts

System Settings

  • Security Level
  • Failed Email Attempts
  • Secondary SMTP Port
  • Notify On System Error
  • Notify On SMTP Error