COVID-19 Screening Questions
Have you travelled outside of Canada in the past 14 days?
Have you tested postitive for COVID-19 or had close contact with a confirmed case of COVID-19 without wearing appropriate PPE?
Please indicate if you have any of the following symptoms?
New onset of cough
Worsening chronic cough
Shortness of breath
Decrease or loss of sense of taste or smell
Unexplained fatigue/malaise/muscle aches
Nausea/vomiting, diarrhea, abdominal pain
Pink eye (conjunctivitis)
Runny nose or nasal confestion without other known cause
If you are 70 years of age or older, are you experiencing any of the following symptoms?
Unexplained or increased number of falls
Acute functional decline
Worsening of chronic conditions
Should be Empty: