IMPORTANT: Please read the questions below and submit your response.

  1. Do you have any of the following new or worsening symptoms or signs?
    Symptoms should not be chronic or related to other known causes or conditions.
    • Fever or chills
    • Difficulty breathing or shortness of breath
    • Cough
    • Sore throat, trouble swallowing
    • Runny nose/stuffy nose or nasal congestion
    • Decrease or loss of smell or taste
    • Nausea, vomiting, diarrhea, abdominal pain
    • Not feeling well, extreme tiredness, sore muscles

  2. Have you travelled outside of Canada in the past 14 days?

  3. Have you had close contact with a confirmed or probable case of COVID-19 in the last 14 days? Close contact generally means: someone you live with, or someone with whom you were exposed to for more than 15 minutes within 2 metres without PPE (personal protective equipment).

  4. Have you tested positive for COVID-19 in the last 14 days?

  5. Are you awaiting test results related to your COVID-19 symptoms or have you been directed to self-isolate by a Health Authority?