SUBMIT COVID-19 SCREENING ONLINE








1. Do you have any of the following new or worsening symptoms or signs? Symptoms should NOT be chronic or related to other known causes or conditions.

Fever and/or chills:
Temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher
YesNo

Cough or braking cough (croup)
Continuous, more than usual, making a whistling noise when breathing, not related to other known causes or conditions (for example, asthma, post-infectious reactive airways)
YesNo

Shortness of breath
Out of breath, unable to breathe deeply, not related to other known causes or conditions(for example, asthma)
YesNo

Decrease or loss of smell or taste
Not related to other known causes or conditions (for example, allergies, neurological disorders)
YesNo

Sore throat or difficulty swallowing
Painful swallowing, not related to other known causes or conditions (for example, seasonal allergies, acid reflux
YesNo

Runny or stuffy/congested nose
Not related to other known causes or conditions(for example, seasonal allergies, being outside in cold weather)
YesNo

Headache that's unusual or long lasting
Not related to other known causes or conditions (for example, tension-type headaches, chronic migranes)
YesNo

Nausea, vomiting and/or diarrhea
Not related to other known causes or conditions (for example, irritable bowel syndrome, anxiety in children, menstrual cramps)
YesNo

Extreme tiredness that is unusual or muscle aches
Fatigue, lack of energy, poor feeding in infants, not related to other known causes or conditions (for example, depression, insomnia, thyroid dysfunction, sudden injury)
YesNo



2. Have you travelled outside of Canada in the last 14 days?
If you are an essential worker who crosses the Canada-US border regularly for work, select "No".
YesNo


3. In the last 14 days, has a public health unit identified you as a close contact of someone who currently has COVID-19?
YesNo


4.Has a doctor, health care provider, or public health unit told you that you should currently be isolating(staying at home)
YesNo


5.In the last 14 days, have you received a COVID Alert exposure notification on your cell? If you already went for a test and got a negative result, select "No."
YesNo