OpenHouse - James Skenderis M.A., Real Estate Broker

Select the address of the property you are visiting * *

In the last 10 days, have you tested positive on a COVID-19 rapid antigen test, a self-testing kit or have been tested and are awaiting results? *

If you answered YES, please do not complete the rest of this form. You will not be permitted to enter the open house at this time. Please contact the listing agent to arrange for a virtual showing appointment.

Have you been directed by Public Health, a physician or other healthcare professional to self-isolate for a period of time including today? *

If you answered YES, please do not complete the rest of this form. You will not be permitted to enter the open house at this time. Please contact the listing agent to arrange for a virtual showing appointment.

Do you have any of the new or worsening, signs or symptoms of COVID-19? *

If you answered YES, please do not complete the rest of this form. You will not be permitted to enter the open house at this time. Please contact the listing agent to arrange for a virtual showing appointment.

In the last 14 days, have you had close contact with someone who has or is suspected of having COVID-19 (including exhibiting any of the symptoms and/or awaiting test results)? If you are fully vaccinated (received the full series of a Canada-approved COVID-19 vaccine at least 14 days ago) and have not been advised to self-isolate by Public Health, you may select ‘NO’ this question. *

If you answered YES, please do not complete the rest of this form. You will not be permitted to enter the open house at this time. Please contact the listing agent to arrange for a virtual showing appointment.

Have you travelled outside of Canada in the past 14 days and been advised to quarantine in accordance with the Government of Canada quarantine requirements? *

If you answered YES, please do not complete the rest of this form. You will not be permitted to enter the open house at this time. Please contact the listing agent to arrange for a virtual showing appointment.

Name *

First

Last

Email *

Telephone *

Address *

Postal Code *

Are you currently working with another Broker or Salesperson? *

If you are working with another Broker or Salesperson, have you signed a representation agreement? *

Do you consent to being contacted and/or receiving marketing information from me? *

What prompted your visit? *

Do you presently own or rent a home?

Own
Rent

When do you contemplate purchasing a home?

3 months
6-12 months

Terms of Service *

I accept the terms of service below

I/We have read and accept the Privacy Policy and Terms of Use of this website. The information collected in this form will be used to screen you for COVID-19 risk factors prior to entering an open house. In the event of a confirmed COVID-19 diagnosis that coincides with your visit to the open house, your name and contact information will be provided to public health authorities for purposes of contact tracing in accordance with provincial instruction. Ontario’s health privacy legislation, Personal Health Information Protection Act (PHIPA) establishes the rules regarding your personal health information.

I agree and consent to the collection, use and disclosure of my personal information by the real estate brokerage and the seller for security purposes. I also agree and consent to you contacting me and to the collection, use and disclosure of my personal information by the real estate brokerage for buying, selling and marketing purposes, unless I have indicated otherwise above.

Welcome!

Every action counts. Do your part. Stop the spread of COVID-19.

If you have any difficulty completing this form, please do not hesitate to contact me and I will gladly walk you through the various sections.