COVID19ScreeningService









Are you currently experiencing one or more of the symptoms below that are new or worsening? Symptoms should not be chronic or related to other known causes or conditions?
  • Fever and/or Chills
  • Cough or barking cough (croup)
  • Shortness of breath
  • Decrease or loss of smell or taste
  • For adults 18 years or older: Fatigue, lethargy, malaise and/or myalgias
  • If you received a COVID-19 vaccination in the last 48 hours and are experiencing mild fatigue that only began after vaccination, select “No.”
  • For people less than 18 years old: Nausea, vomiting and/or diarrhea.
    YesNo
  • In the last 14 days, have you traveled outside of Canada AND been advised to quarantine (as per the federal quarantine requirements)?
    YesNo
    Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?
    YesNo
    In the last 10 days, have you been identified as a “close contact” of someone who currently has COVID-19? If public health has advised you that you do not need to self-isolate (e.g. you are fully immunized or have tested positive for COVID-19 in the last 90 days and since been cleared), select "No.
    YesNo
    In the last 10 days, have you received a COVID Alert exposure notification on your cell phone? If you have already gone for a test and got a negative result, select “No.” If you are fully immunized or have tested positive for COVID-19 in the last 90 days and since been cleared, select "No".
    YesNo

    In the last 10 days, have you tested positive on a rapid antigen test or a home-based self-testing kit? If you have since tested negative on a lab-based PCR test, select "No."
    YesNo

    Is anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms? If the individual experiencing symptoms received a COVID-19 vaccination in the last 48 hours and is experiencing mild fatigue, muscle aches, and/or joint pain that only began after vaccination, select "No." If you are fully immunized or have tested positive for COVID-19 in the last 90 days and since been cleared, select "No."
    YesNo

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