Recreation Facilities COVID-19 Screening Questions

Question Title

* 1. Do you have any of the following new or worsening symptoms or signs? Check any if they apply. Symptoms should not be chronic or related to other known causes or conditions.

Fever or chills
Temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher

Cough or barking cough (croup)
Continuous, more than usual, making a whistling noise when breathing (not related to asthma, post-infectious reactive airways, or other known causes or conditions they already have)

Shortness of breath
Out of breath, unable to breathe deeply (not related to asthma or other known causes or conditions they already have)

Decrease or loss of taste or smell
Not related to seasonal allergies, neurological disorders, or other known causes or conditions they already have

Sore throat or difficulty swallowing
Painful swallowing (not related to seasonal allergies, acid reflux, or other known causes or conditions they already have)

Runny or stuffy/congested nose
Not related to seasonal allergies, being outside in cold weather, or other known causes or conditions they already have

Headache
Unusual, long-lasting (not related to tension-type headaches, chronic migraines, or other known causes or conditions they already have)

Nausea, vomiting, and/or diarrhea
Not related to irritable bowel syndrome, anxiety, menstrual cramps, or other known causes or conditions they already have

Extreme tiredness or muscle aches
Unusual, fatigue, lack of energy, poor feeding in infants (not related to depression, insomnia, thyroid disfunction, sudden injury, or other known causes or conditions they already have)

No symptoms

Question Title

* 2. Is anyone you live with experiencing COVID-19 symptons/awaiting test results after having symptoms?

Yes

Not applicable if you are fully vaccinated

Question Title

* 3. Have you tested positive for COVID-19 in the last ten days?

Yes

Question Title

* 4. Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?

Yes

Question Title

* 5. Has a public health unit identified you as a close contact of someone who currently has COVID-19?

Yes

N/A if you are fully vaccinated and have not been told to isolate by Public Health

Question Title

* 6. Have you received a COVID Alert exposure notification and have not been tested/are awaiting test results?
(If you've already went for a test and got a negative result, select "No")

Yes

N/A if you are fully vaccinated

Question Title

* 7. Have you travelled outside of Canada in the past 14 days? (Not applicable if you are exempt from federal quarantine as per the Quarantine Act.)

Yes

N/A if you are exempt from federal quarantine as per the Quarantine Act

Question Title

* 8. What are you entering the facility for?

Minor Hockey

Figure Skating

Fitness Room

Other (please specify)

Question Title

* 9. Contact Information

Name

Phone Number

Results of Screening Questions:

If you've answered none of the above and no to all questions 1 through 5, then you have passed and may proceed to enter the facility.

If you've answered yes or if any of the questions 1 through 5 apply to you, do not enter the workplace. Please self-isolate, inform your guardian immediately and contact your nearest healthcare provider or Telehealth Ontario at 1 866 797 0000 to find out if you need a COVID-19 Test. For a list of assessment centres visit TBHU.com/testinginfo.

For more information on COVID-19, visit TBHU.com/coronavirus or call 625-5900, toll-free 1 888 294 6630 or your nearest branch office.

Recreation Facilities COVID-19 Screening Questions

Question Title

* 1. Do you have any of the following new or worsening symptoms or signs? Check any if they apply. Symptoms should not be chronic or related to other known causes or conditions.

Question Title

* 2. Is anyone you live with experiencing COVID-19 symptons/awaiting test results after having symptoms?

Question Title

* 3. Have you tested positive for COVID-19 in the last ten days?

Question Title

* 4. Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?

Question Title

* 5. Has a public health unit identified you as a close contact of someone who currently has COVID-19?

Question Title

* 6. Have you received a COVID Alert exposure notification and have not been tested/are awaiting test results?(If you've already went for a test and got a negative result, select "No")

Question Title

* 7. Have you travelled outside of Canada in the past 14 days? (Not applicable if you are exempt from federal quarantine as per the Quarantine Act.)

Question Title

* 8. What are you entering the facility for?

Question Title

* 9. Contact Information

* 6. Have you received a COVID Alert exposure notification and have not been tested/are awaiting test results?
(If you've already went for a test and got a negative result, select "No")