COVID-19 Questionnaire

    Are you experiencing any of these symptoms today?

    • fever (a temperature of 37.8 degrees Celsius or higher) and/or chills

    • cough, including a barking cough or croup (continuous, more than usual, making a whistling noise when breathing)

    • shortness of breath (out of breath, unable to breathe deeply)

    • decrease or loss of taste or smell

    • muscle aches, joint pain and/or extreme tiredness?

    YesNo

    If yes, please contact Alana at 519-946-0363 at 7:30AM to do an assessment and figure out next steps

    To your knowledge, have you been in contact with someone with COVID-19 or is someone in your home in isolation due to a confirmed or suspected case of COVID-19?

    YesNo

    If yes, please contact Alana at 519-946-0363 at 7:30AM to do an assessment and figure out next steps