Visitor Covid 19 Screening Question Title * 1. Do you have new or worsening fever or chills? Yes No Question Title * 2. Do you have new or worsening difficulty breathing or shortness of breath? Yes No Question Title * 3. Do you have a new or worsening cough? Yes No Question Title * 4. Do you have a new or worsening sore throat or trouble swallowing? Yes No Question Title * 5. Do you have a new or worsening runny nose, stuffy nose or nasal congestion? Yes No Question Title * 6. Do you have decreased or loss of smell or taste? Yes No Question Title * 7. Do you have any nausea, vomiting, diarrhea or abdominal pain? Yes No Question Title * 8. Do you have sore muscles, extreme tiredness or generally not feeling well? Yes No Question Title * 9. Have you travelled outside of Canada in the past 14 days or have been around someone who has? Yes No Question Title * 10. Have you had close contact with a confirmed or probable case of COVID 19? Yes No Question Title * 11. I agree and acknowledge that I am answering for myself and anyone in my household and I/we will only attend the dealership if I/we have been able to answer No to ALL questions. Name Email Address Phone Number Done