Risk Assessment: Screening Questions

In the past 14 days, at work or elsewhere, while not wearing appropriate personal protective equipment:

If you answer “YES” to any of the above, you are not permitted to attend the Firefly Circus Academy.

If you answer “NO” to all of the above, you can proceed to work or with your visit.​ If you develop any of the above symptoms, please complete a new questionnaire. ​Note:​ If you have any other symptoms which are new or a change from your usual symptoms, then you should stay home and minimize contact with others until you are feeling better.

*Close contact includes providing care, living with or otherwise having close prolonged contact (within 2 meters) while the person was ill, or contact with infectious bodily fluids (e.g. from a cough or sneeze) while not wearing recommended ​personal protective equipment​.

**Probable case is a person with clinical illness who had close contact to a lab-confirmed COVID-19 case, while not wearing appropriate ​personal protective equipment​,​ OR a person with clinical illness who meets the COVID-19 exposure criteria, AND in whom laboratory diagnosis of COVID-19 is inconclusive. ​Clinical illness o​ f a probable case is new onset/exacerbation of following symptoms: fever (over 38 degrees Celsius), cough, shortness of breath (SOB)/difficulty breathing, sore throat or runny nose. Exposure criteria​ for a probable case is a person who, in the 14 days before onset of illness: had any history of travel outside of Canada; OR had close contact with a confirmed or probable case of COVID-19; OR is a close contact of a traveler with acute respiratory illness who returned from outside Canada in the previous 14 days; OR had a laboratory exposure to biological material (e.g. primary clinical specimens, virus culture isolates) known to contain COVID-19.

This screening questionnaire will be kept confidential.