PostVisit

Name

Date

During your visit to Avery Tijuana, did you experience: flu, cough, fever, headache or any other symptom?

Yes

No

During your visit, did you receive COVID protection equipment and follow all safety guidelines requested by APC?

Yes

No

During your stay at Tijuana did you followed all APC recommendations in regards to COVID prevention ?

Yes

No

Is there is any recommendation or feedback you may have about protocols and process during your visit, Please described on this section, this will help us to improve for future visits, all info is Confidential for internal use only:

Opt-In

I HEREBY CERTIFY THAT ALL THE ABOVE INFORMATION IS TRUE

Post Visit Questionnaire

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