Staff Screening Survey

* 4. In the last 10 days have you experienced any of the symptoms below?

If you are fully vaccinated and not immune compromised and experienced the symptom(s) over 5 days ago and the symptom(s) have been improving for over 24hours (48 hours for gastrointestinal symptoms) and you do not have a fever, select “No.”

Anyone who is sick or has any symptoms of illness, including those not listed below, should stay home and seek assessment from their health care provider if needed.

- Fever and/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, COPD, or other known causes or conditions you already have)

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

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

- Muscle aches/joint pain Unusual, long-lasting (not related to getting a COVID-19 vaccine and/or flu shot in the last 48 hours, a sudden injury, fibromyalgia, or other known causes or conditions you already have)

- Extreme tiredness - Unusual, fatigue, lack of energy (not related to getting a COVID-19 vaccine and/or flu shot in the last 48 hours, depression, insomnia, thyroid dysfunction, or other known causes or conditions you already have)

- Sore throat - Painful or difficulty swallowing (not related to post-nasal drip, acid reflux, or other known causes or conditions you already have)

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

- Headache - New, unusual, long-lasting (not related to getting a COVID-19 vaccine and/or flu shot in the last 48 hours, tension-type headaches, chronic migraines, or other known causes or conditions you already have)

- Nausea, vomiting and/or diarrhea Not related to irritable bowel syndrome, anxiety, menstrual cramps, medication side effects, or other known causes or conditions you already have

B) In the last 14 days, have you travelled outside of Canada AND been advised to quarantine (as per the federal quarantine requirements)?

C) In the last 10 days, have you tested positive for COVID-19?

D) Do any of the following apply?

•You live with someone who is currently isolating because of a positive COVID-19 test
•You live with someone who is currently isolating because of COVID-19symptoms
•You live with someone who is waiting for COVID-19 test results

E) In the last 10 days, have you been identified as a “close contact” of someone who currently has COVID-19 and doesn’t live with you?

F. If public health has advised you that you need to self-isolate, select “Yes.” If yes, please contact your supervisor immediately .

(If exempt from federal quarantine requirements as directed by the border agent at your point of entry (for example, you have two or more doses of a COVID-19 vaccine and have met the specific conditions, or an essential worker who crosses the Canada-US border regularly for work), select “No.”)