Official Health Screening

Health Declaration Form

Please complete all required information before proceeding to either wing. Your answers are recorded for health-screening purposes only.

Leave this field blank

01 Guest Details

Full Name *

Please enter your name.

Department *

Please enter your department.

Property *

Garden Wing GW Forest Wing FW

Please select your property (Garden Wing or Forest Wing).

Contact Number *

Please enter a valid 11-digit mobile number (e.g. 09XX XXX XXXX).

Home Address *

Please enter your home address.

02 Health Check

Do you currently have any of these symptoms? (optional)

No Symptoms

Fever

Cough

Colds

Sore Throat

Difficulty in Breathing

Diarrhea

Others

Please specify *

Thermal Scan Temperature (�C) *

Please enter a valid temperature between 0 and 50.

03 Certification

I hereby certify that the above information is true and complete. I understand that my failure to answer, or any false or misleading information given by me, may be used as grounds for the filing of cases against me under Articles 171 and 172 of the Revised Penal Code of the Philippines, or RA No. 11332, otherwise known as the "Law on Reporting of Communicable Diseases." *

Date: October 22, 2026

Privacy notice: information collected here is used only for health-screening purposes, is limited to authorized staff, and is transmitted over HTTPS. It is not publicly accessible.