Covid-19 Screening Questions

Novel coronavirus (COVID-19) Guidance

Screening Questionnaire

We require you to answer the below questionnaire to assist in determining your fitness during the COVID-19 pandemic to provide a safe environment for staff, and participants. The information in this questionnaire is collected under the authority of FOIP section 33 (c) and will be used and disclosed solely for the purposes of determining fitness for work or visitation during the COVID-19 pandemic.

You must follow hand hygiene protocols and remember to clean your keys, phone, computers and other personal items.

The questionnaire only relates to newsymptoms or a worseningof symptoms related to allergies, chronic or preexisting conditions. Those with symptoms related to pre-existing conditions or allergies can still go to work or visit.