Self-Isolation Plan Questionnaire
Persons arriving to Prince Edward Island may be required to present a self-isolation plan. Be prepared to answer the following questions or complete the Self-Isolation for Travellers form.
Self-Isolation Plan
In which county will you be isolating?
- Kings
- Queens
- Prince
What is your isolation household type?
- Private
- Family Member
- Commercial (ie hotel, BNB, etc)
- Other (describe)
List information of all household members (i.e. living at the same address):
- First name:
- Last name:
- Date of birth (yyyy/mm/dd):
Contact phone number while in isolation:
Contact person name while in Isolation:
Isolation address (if different than home address):
Do you have transportation to your isolation premise?
- Yes
- No
Do you have enough prescriptions for 14 days of self-isolation?
- Yes
- No
- Not applicable
Do you have enough supplies for 14 days of self-isolation (food, cleaning supplies, etc)?
- Yes
- No
Do you have local support (childcare, dog walk, etc) for 14 days of self-isolation?
- Yes
- No
- Not applicable
Do you have oudoor plans? If so please describe.
Are there any other details about your self-isolation plan we should know?