Dominica Health Questionnaire
Please complete the form below

• The fields marked with a red asterisk are mandatory.

Demographic Information

Flight/Route Information

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Medical Information

Other Social/Behavioural Information


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.


  • 8

    Bob Nilson

    Project Manager
  • ...

    Nick Larson

    Art Director
  • 3

    Deon Hubert

  • ...

    Ella Wong



  • 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.



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