COVID-19 Question Form

Please fill out and submit before your visit at WOWMOMS World Montreal.

COVID-19 Questionnaire

Please submit this form before your visit.

1) Was your temparture taken before your visit?
2) Have you taken any medication in the past 24 hours treating a fever or any other illness?
3) Are you exhibiting ANY symptoms relating to COVID-19? (new cough that is getting worse, difficulty breathing, nausea, vomiting, diarrhea, sudden loss of smell or taste without nasal congestion)
4) Is any household member in self-isolation following travel or exhibiting any COVID-19 symptoms?
5) Has public health required you or any member of you family to self-isolate or to pay attention to symptoms?

WOWMOMS World Montreal

5155 Rue De Sorel 

Montreal, Qc, H4P 1G7

infomontreal@wowmomsworld.com

Tel: 1-855-969-6667

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Opening Hours

Monday                                 CLOSED

Tuesday to Friday           9am-5pm

Saturday & Sunday        9am-4pm

                         

What can we help you with?

© 2020 by WOWMOMS World Montreal. 

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