Staff Portal

Staff Screening

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Do you have any of the following symptoms:fever or chills, cough, difficulty breathing or shortness of breathe, sore throat, trouble swallowing, stuffy or runny nose, loss of taste or smell, sore muscles, extreme tiredness, nausea, vomiting, diarrhea? *

Yes No

Staff Name *

Have you been notified as a close contact of someone with COVID 19 or been told to stay home and self isolate? Has anyone in your household travelled outside of Canada in the last 14 days? *

Yes No

Have you taken fever reducing medication in the past 24 hours? Or does anyone in your household have one or more of the above symptoms? *

Yes No

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Staff Portal

Staff Screening

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