In Class ZacsTracs COVID-19 Pre-Screening Questions

COVID Questions

Question Title

* 1. Full Name

Question Title

* 2. Date of class

Question Title

* 3. Have you travelled outside of Canada (including the United States) within the last 14 days?

Yes (If yes, do not attend class, contact Lori via telephone)

Question Title

* 4. Have you been in contact with any confirmed COVID-19 positive patients, or persons self isolating because of a determined risk for COVID-19, without wearing appropriate PPE within the last 14 days? (Healthcare workers who have worn appropriate PPE may answer no)

Yes (If yes, do not attend class, contact Lori via telephone)

Question Title

* 5. Within the past 14 days:
Have you had any of the following symptoms, Which are new and not previously diagnosed as allergies, chronic, or pre-existing related issues?

Fever of 38°C or higher, or feeling hot, chills/feverish?

Yes (If yes, do not attend class, contact Lori via telephone)

Question Title

* 6. Cough or worsening of a chronic cough? Shortness of breath or other difficulties breathing?

Yes (If yes, do not attend class, contact Lori via telephone)

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* 7. Flu like symptoms (sore throat, stuffy nose, headache, fatigue, diarrhea, loss of appetite, nausea and vomiting, muscle aches)?

Yes (If yes, do not attend class, contact Lori via telephone)

Question Title

* 8. Recent alteration or loss of sense of smell or taste? Any new and/or unusual symptoms (feeling unwell, conjunctivitis (pinkeye), or sudden onset of runny nose)?

Yes (If yes, do not attend class, contact Lori via telephone)

Question Title

* 9. I am responsible for my own food and beverages throughout the day and will bring plenty to eat as there is no food available on site and I will not have an opportunity to leave at lunch.

I agree

I disagree, I choose to starve

Food is for the weak, I am a god and require no sustenance

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In Class ZacsTracs COVID-19 Pre-Screening Questions

COVID Questions

Question Title

* 1. Full Name

Question Title

* 2. Date of class

Question Title

* 3. Have you travelled outside of Canada (including the United States) within the last 14 days?

Question Title

* 4. Have you been in contact with any confirmed COVID-19 positive patients, or persons self isolating because of a determined risk for COVID-19, without wearing appropriate PPE within the last 14 days? (Healthcare workers who have worn appropriate PPE may answer no)

Question Title

* 5. Within the past 14 days:Have you had any of the following symptoms, Which are new and not previously diagnosed as allergies, chronic, or pre-existing related issues?Fever of 38°C or higher, or feeling hot, chills/feverish?

Question Title

* 6. Cough or worsening of a chronic cough? Shortness of breath or other difficulties breathing?

Question Title

* 7. Flu like symptoms (sore throat, stuffy nose, headache, fatigue, diarrhea, loss of appetite, nausea and vomiting, muscle aches)?

Question Title

* 8. Recent alteration or loss of sense of smell or taste? Any new and/or unusual symptoms (feeling unwell, conjunctivitis (pinkeye), or sudden onset of runny nose)?

Question Title

* 9. I am responsible for my own food and beverages throughout the day and will bring plenty to eat as there is no food available on site and I will not have an opportunity to leave at lunch.

* 5. Within the past 14 days:
Have you had any of the following symptoms, Which are new and not previously diagnosed as allergies, chronic, or pre-existing related issues?

Fever of 38°C or higher, or feeling hot, chills/feverish?