Fight COVID | QR code contactless declaration form 

At New Image Wellness Spa Aruba, we want you to enjoy a risk-free zone inside, that is why we concentrate our efforts on preventing the spread of the novel coronavirus (COVID-19).

Please fill in the form to get access.

Spa New Image Wellness and Beauty Aruba,
What is your email address? To keep you informed in the event a COVID-19 positive case is detected in our premises.
What is your phone number? To keep you informed in the event a COVID-19 positive case is detected in our premises.
At New Image Wellness Spa Aruba, we want you to enjoy a risk-free zone inside, that is why we concentrate our efforts on preventing the spread of the novel coronavirus (COVID-19). Please fill in the form to get access.
This self-declaration form keeps us informed so that we can help you stay safe, following the World Health Organization's COVID-19 outbreak guidelines.
This form will be retained confidentially by the company above, for one-month after submission. The health and wellbeing of our community is our first priority; therefore, we reserve the right to deny the entry. Also, we are collecting personal data to be able to support local authorities in case of an outbreak. In such a case, this data will help the authorities to trace a human-to-human transmission of the Virus. Private Data Protection notice: We are collecting and processing this personal data based on Art. 6 (1)(f) and Art.9 (2)(i) Regulation (EU) 2016/679 (“GDPR”) being necessary for the legitimate interests pursued by the company and necessary for protecting against serious cross-border threats to health.This question is required.
Please describe what is the treatment or therapy for today?
Have you taken an international or domestic flight in the past 3 weeks? This question is required. *
In the last 2 weeks, have you experienced any of these symptoms? This question is required. * Select multiple if needed:
Have you or an immediate family member come in close contact with someone with the symptoms above? This question is required. *
"I declare all the above to be true. Also, I am aware that I may be held liable for knowingly providing incorrect information." We have some additional questions. Please speak with our personnel. Thank you!
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