COVID Screening Tool Please enable JavaScript in your browser to complete this form.Name *Date / Time *DateTimeDo you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditionsFever or Chills *YesNoDifficulty breathing or shortness of breath *YesNoCough *YesNoSore throat, trouble swallowing *YesNoRunny nose/stuffy nose or nasal congestion *YesNoDecrease or loss of smell or taste *YesNoNot feeling well, extreme tiredness, sore muscles *YesNoHave you travelled outside Canada in the last 14 days?YesNoHave you had close contact with a confirmed or probable case of COVID-19?YesNoStop! If you answer yes to any question, you must not enter the workplace.Submit