Elementor #1807 The questions in this tool have been defined by the Ministry of Health. Using this specific online tool to answer the questions is optional and is not tracked or enforced. This screening cannot diagnose you. If you, have medical questions, consult a health care provider. Follow the direction of your local public health unit over the advice in this tool. First Name Last Name Are you currently experiencing any of these symptoms?Textarea - Fever and/or chills - Cough - Shortness of breath - Sore throat - Difficulty swallowing - Runny or stuffy/congested nose - Decrease or loss of taste or smell - Pink eye - Headache - Digestive issues like nausea/vomiting, diarrhea, stomach pain - Muscle aches/joint pain - Extreme tirednessAre you currently experiencing any of these symptoms? Yes NoIs anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms? Yes NoIn the last 14 days, have you travelled outside of Canada? Yes NoIn the last 14 days, have you been identified as a “close contact” of someone who currently has COVID-19?’ Yes NoHas a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)? Yes NoIn the last 14 days, have you received a COVID Alert exposure notification on your cell phone? Yes No I have read and agree to the Terms and Conditions.
