COVID-19, Sign IN

Please complete the form below and a Chuck’s Roadhouse Bar and Grill representative will get back to you.

    For the purpose of the health protection of all guests and staff, please complete the following questions prior to dining with us:

    Fever and/or chills?
    Cough or barking cough (croup)?
    Shortness of breath?
    Decrease or loss of smell or taste?
    Sore throat?
    Difficulty swallowing?
    Pink eye?
    Runny or stuffy/congested nose?
    Headache that's unusual or long-lasting?
    Digestive issues like nausea/vomiting, diarrhea, stomach pain?
    Muscle aches that are unusual or long-lasting?
    Extreme tiredness that is unusual?
    Falling down often?
    Have you travelled outside of Canada in the last 14 days?
    In the last 14 days, has public health unit identified you as a close contact of someone who currently has COVID-19?
    Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?
    In the last 14 days, have you received a COVID Alert exposure notification on your cell? If you already went for a test and got a negative result, select 'No'.

     

    You have expressed you are experiencing symptoms relating to COVID-19. Please seek medical assistance by contacting your local Public Health authority.