Covid Screening Tool
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1. Are you currently experiencing any of these symptoms? Choose any/all that are new, worsening, and not related to other known causes or conditions you already have.
2. In the last 5 days, has someone you live with: a) Been sick with symptoms associated with COVID-19 and/or b) Tested positive for COVID-19 (on a rapid antigen test or PCR)?
3. In the last 5 days, have you tested positive on a rapid antigen test or home-based self testing kit?
4. In the last 5 days, have you received a COVID Alert exposure notification on your cell?
5. In the last 5 days, have you been identified as a “close contact” of someone who currently has COVID-19? (Confirmed by a rapid antigen test or PCR test)?
6. In the last 14 days, have you travelled outside of Canada? If exempt from Federal quarantine requirements by the border agent at point of entry (IE. 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”.
1. Are you currently experiencing any of these symptoms? Choose any/all that are new, worsening, and not related to other known causes or conditions you already have.
2. In the last 10 days, has someone you live with: a) Been sick with symptoms associated with COVID-19 and/or b) Tested positive for COVID-19 (on a rapid antigen test or PCR)?
3. In the last 10 days, have you tested positive on a rapid antigen test or home-based self testing kit?
4. In the last 10 days, have you received a COVID Alert exposure notification on your cell?
5. In the last 10 days, have you been identified as a “close contact” of someone who currently has COVID-19? (Confirmed by a rapid antigen test or PCR test)?
6. In the last 14 days, have you travelled outside of Canada? If exempt from Federal quarantine requirements by the border agent at point of entry (IE. 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”.
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