Visitor Assessment

Thank you for your interest in visit Haven on the Trent.

This assessment must be completed prior to entering Haven On The Trent Site and Model Homes. You may be refused entry if you do not complete this form.The information you provide will be used to evaluate and respond to health and safety risks associated with COVID-19 exposure at our facility. Where necessary for public health and safety reasons, our company may use the information you provide in internal and external communications related to the COVID-19 pandemic, however our company will not identify you in any communication by name, unless required by law. Completed forms will be retained in a secure and confidential manner for the duration of the risk pandemic.

Rules & Reminders

Please wear a mask (one will be provided if you don’t have one)
Sanitize your hands
Stay 2 metres apart
Limit 2 people at a time
Do not touch anything

    Visitor Contact Information

    Please note there is a limit of 2 individuals per appointment

    Vistor #1

    Health Assessment

    Have You Been in Contact with a Confirmed or Suspected case of the COVID-19 Virus in the Last 14 Days?

    YesNo

    Have You You Exhibited Signs of a Fever, Cough, Difficulty Breathing, Muscle Aches, Fatigue, Headache, Sore Throat or Runny Nose within the Past 14 Days?

    YesNo

    Have You Travelled Outside of Canada within the Last 14 Days?

    YesNo



    Is There a Second Person in Your Party?

    YesNo

    Visitor Contact Information

    Vistor #2

    Health Assessment

    Have You Been in Contact with a Confirmed or Suspected case of the COVID-19 Virus in the Last 14 Days?

    YesNo

    Have You You Exhibited Signs of a Fever, Cough, Difficulty Breathing, Muscle Aches, Fatigue, Headache, Sore Throat or Runny Nose within the Past 14 Days?

    YesNo

    Have You Travelled Outside of Canada within the Last 14 Days?

    YesNo