Let's check our health before we play!

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* 1. Are you experiencing any of these symptoms?
Fever?
Chills?
Cough?
Barking cough making whistling noise when breathing?
Shortness of breath?
Sore throat?
Difficulty swallowing?
Runny nose, sneezing, or nasal congestion?
Lost sense of taste or smell?

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* 2. Are you experiencing any of these symptoms?
Pink eye?
Headache that's unusual or long lasting?
Digestive issues?
Muscle aches?
Extreme tiredness?
Falling down often?
For young children, sluggishness or lack of appetite?

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* 3. In the last 14 days, have you been in close physical contact with someone who tested positive for COVID-19?  (Close physical contact means being less than 2 meters away in the same room, workspace, or area for over 15 minutes or living in the same home).

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* 4. In the last 14 days, have you been in close physical contact with a person who is currently sick with a cough, fever, or difficulty breathing; OR returned from outside Canada in the last 2 weeks? (Close physical contact means being less than 2m away in the same room, workspace, or area for over 15 minutes or living in the same home).

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* 5. Have you travelled outside of Canada in the last 14 days?

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* 6. Contact Info

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* 7. Select today's date

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