DDP Covid-19 Questionnaire
You must screen for Covid-19 every .
Answer the following questions to help you decide if you should or should not go to dance classes today.
You can fill this out on behalf of your dancer
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Email *
Dancer's Name *
The date your dancer will be at DDP *
MM
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DD
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YYYY
Do you have any of the following symptoms: fever/feverish, new or existing cough, difficulty breathing, sore throat, runny nose, decrease or loss of taste of smell, pink eye, headache that is unusual/long lasting and lack of appetite? *
Required

Have you traveled outside Canada within the last 14 days?
*
Required
Have you had close contact with a confirmed or probable case of COVID-19 in the last 14 days? *
Required
Have you been in contact with anyone who has traveled in the last 14 days? *
Required
If you answered YES to any of these questions, DO NOT COME TO DDP. Please notify us.
By submitting this form, you declare that this questionnaire is filled out to the best of your knowledge.
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