COVID-19 Screening For employees and visitors Step 1 of 3 33% Name* 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. Fever and/or chills Cough or barking cough (croup) Shortness of Breath Sore Throat Difficulty swallowing Runny or stuff/congested nose Decrease of loss of taste or smell Pink eye Headache Digestive issues like nausea. vomiting, diarrhea, stomach pain Muscle aches/joint pain Extreme tiredness Falling down often None of the above Is anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms?*If you are fully vaccinated (it has been 14 or more days since your final dose of either a two-dose or a one-dose vaccine series), select “No.” If the person got a COVID-19 vaccine in the last 48 hours and is experiencing a mild headache, fatigue, muscle aches, and/or joint pain that only began after vaccination, select “No.” No Yes In the last 14 days, have you travelled outside of Canada and been told to quarantine (per the federal quarantine requirements)?* No Yes In the last 14 days, have you been identified as a “close contact” of someone who currently has COVID-19?*If public health has advised you that you do not need to self-isolate (for example, you are fully vaccinated or for another reason), select “No.” No Yes Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?*This can be because of an outbreak or contact tracing. No Yes In the last 10 days, have you tested positive on a rapid antigen test or home-based self-testing kit?*If you have since tested negative on a lab-based PCR test, select "No." No Yes In the last 14 days, have you received a COVID Alert exposure notification on your cell phone?*If you are fully vaccinated (it has been 14 or more days since your final dose of either a two-dose or a one-dose vaccine series), select “No.” If you already went for a test and got a negative result, select “No.” No Yes Stay home. Do not go to the office.* I will stay home and self-isolateBased on your answers, you either have symptoms or may have been exposed to COVID-19. We recommend that you stay home to protect the health and safety of the people you work with. You could be carrying and spreading the virus without knowing it. Next steps 1. Tell your employer about this result 2. You should isolate (stay home) and not leave except to get tested or for a medical emergency 3. Talk with a doctor/health care provider or call Telehealth Ontario (1-866-797-0000) to get advice or an assessment, including if you need a COVID-19 test.You can go to the office! Fantastic! I'm on my way!
