Your Safety Matters to Us
Programs Starting April 2016
COVID Screening
Step
1
of
5
20%
First Name
*
Last Name
*
Email
*
Phone
*
Campus
*
Campus
Sudbury
Oshawa
Kingston
Niagara
Outreach
1. Do you have any new or worsening of the following symptoms:
*
NO to All Below
YES, I have at least one of the symptoms listed below
Fever and/or chills
Cough and/or barking cough
Shortness of breath
Decrease or loss of taste and/or smell
Sore throat or trouble swallowing
Runny or stuffy nose
Abdominal pain that is persistent or ongoing (not related to known cause)
Headache that is unusual or long-lasting
Conjunctivitis (pink eye)
A decreased or lack of appetite
Tired/muscle aches or joint pain
2. In the last 10 days, have you or someone you live with travelled internationally, returned to Canada AND been advised to quarantine (as per federal quarantine requirements)?
*
YES
NO
3. Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)
*
YES
NO
4. Are you or anyone you live with currently experiencing any new COVID-19 symptoms and/or are waiting for test results after experiencing symptoms?
*
YES
NO