Sick Tray - Lunch Or Dinner

Lunch Delivery: 1:00 pm

Dinner Delivery: 6:00 pm

NOTE: Requests must be made an hour before service begins

Select One

LunchDinner

Guest Details

Name

Date

Room Number:

E-Mail Address

What is the best number to contact you regarding your order?

Requests/Notes - please indicate in the space provided if you have any specific food allergies:

We are sorry to learn that you are not feeling well and will submit your sick tray request to our dining services team.

So that we have a better understanding of your illness, please take a moment to answer the following questions:

Are you currently running a fever?

YesNoNot Sure

Please select all of the symptoms you are currently experiencing:

Press and hold shift key for multiple choices

Please indicate below what other symptoms you may be experiencing

Have you experienced a fever, cough or shortness of breath in the past 14 days?

YesNo

Have you been in contact with anyone who has had a fever, cough or shortness of breath or suspected or confirmed to be infected with COVID-19 in the past 14 days?

YesNo

Have you traveled outside of your country of origin in the past 30 days?

YesNo

If yes, what countries have you traveled to?

Contact Information