COVID-19 SCREENING QUESTIONS

Please read the following Covid-19 screening questions and TEXT BACK YES/NO OR UNKNOWN TO EACH AND THE NAME OF THE PERSON ENTERING THE OFFICE.

  1. Do you have concern for a potential Covid-19 infection? (e.g., Is there an outbreak in the facility or are you waiting for test results?)
  2. Did the person travel outside of Canada in the past 14 days?
  3. Has the person tested positive for Covid-19 or told they should be isolating?
  4. Has the person tested positive for Covid-19 or had close contact with a confirmed case of Covid-19 without wearing the appropriate PPE?
  5. Does the person have any of the following symptoms?
    • Fever
    • New onset of cough
    • Worsening chronic cough
    • Shortness of breath
    • Difficulty breathing
    • Sore throat
    • Difficulty swallowing
    • Decrease of loss of sense of tase or smell
    • Chills
    • Headaches
    • Unexplained fatigue/Malaise/Muscle aches (myalgias)
    • Nausea/Vomiting, Diarrhea, Abdominal pain
    • Pink eye (conjunctivitis)
    • Runny nose, or nasal congestion without other known cause
  6. Has the person attended a gathering of more than the current allowed public health measure?
  7. If person is 70 years of age or older, are they experiencing any of the following symptoms:
    • Delirium
    • Unexplained or increased number of falls
    • Acute functional decline
    • Worsening of a chronic conditions

Please text us your name and reply to these questions upon arrival to your appointment for check in.

Text: (226) 781-8334