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* 1. Do you have any of the following worsening symptoms or signs?

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* 2. Have you had close contact with a confirmed or probable case of COVID-19 without wearing appropriate PPE?

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* 3. Have you travelled outside Canada in the past 14 days?

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* 4. What are the TOP THREE biggest challenges you are currently facing while working remotely?

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* 5. What is your first and last name, email address and phone number?

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