COVID-19 Screening Assessment

Required Screening Questions:

1. Are you fully vaccinated against COVID-19?

Personal health information is not collected when you complete this screening tool. The purpose of this question is to provide accurate isolation instructions, which are based on vaccination status.

2. Are you currently experiencing one or more symptoms below that are new or worsening?
Symptoms should not be chronic or related to other known causes or conditions.

Runny Nose or Nasal Congestion
Headache
Extreme Tiredness
(Not related to getting a COVID-19 vaccine and/or flu shot in the last 48 hours)
Sore Throat
Muscle Aches or Joint Pain
(Not related to getting a COVID-19 vaccine and/or flu shot in the last 48 hours)
Gastrointestinal Symptoms (Such as Vomiting or Diarrhea)

3. Are you currently experiencing one or more symptoms below that are new or worsening?
Symptoms should not be chronic or related to other known causes or conditions.

Fever and/or chills
Cough or barking cough (croup)
Difficulty breathing or shortness of breath
Decrease or loss of smell or taste

4. In the last 10 days, has someone you live with been sick with symptoms associated with COVID-19 and/or tested positive for COVID-19 (on a rapid antigen test or PCR test)?

5. In the last 10 days, have you tested positive on a rapid antigen test or a home-based self-testing kit?

6. In the last 10 days, have you received a COVID Alert exposure notification on your mobile phone?

7. In the last 10 days, have you been identified as a "close contact" of someone who currently has COVID-19 (confirmed by a PCR or rapid antigen test)?
If public health has advised you that you do not need to self-isolate, select "No".

8. In the last 14 days, have you travelled outside of Canada?
If exempt from federal quarantine requirements as directed by the border agent at your point of entry (for example, you have two or more doses of a COVID-19 vaccine and have met the specific conditions, or an essential worker who crosses the Canada-US border regularly for work), select "No".

9. Please provide your full name: