Name (or click next to select) Please type your Name (or click next to select).

Select your name if employee

Do you have fever ?

Difficulty breathing or shortness of breath ?

Do you feel cough ?

Do you have sore throat, trouble swallowing ?

Do you have 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 ?

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

Have you had close contact with a confirmed or probable case of COVID-19 ?