Coldwell Banker Village Green Realty Survey
RequiredRequired Question(s)
NY State requires we ask the following screening questions of our office visitors:
 
Required 1.

Name:

 

50 characters left.
Required 2.

Date:

 

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Required 3.

Time: 

 

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Required 4.

Email:

 

50 characters left.
5.

Phone:

 

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Required 6.
Which office are you be visiting?
Catskill
Kingston
New Paltz
Rhinebeck
Windham
Woodstock
Required 7.
Have you knowingly been in close or proximate contact in the past 14 days with anyone who has tested positive for COVID-19 or who has or had symptoms of COVID-19?
Yes
No
Required 8.
Have you tested positive for COVID-19 in the past 14 days?
Yes
No
  • Comment:

  • 500 characters left.
Required 9.

Have you experienced any symptoms of COVID-19 in the past 14 days?

Yes
No
  • Comment:

  • 500 characters left.
Required 10.
Have you travelled from a non-contiguous state after 11/4/2020 (If yes answer below)?
Yes
No
  • Comment:

  • 500 characters left.
11.
I have completed the mandatory 14-day quarantine or met the requirements to "test out" of the 14-day quarantine.           
Yes
No
  • Comment:

  • 500 characters left.