Child Daily Screening Form
Please complete each day before arriving at the centre.
Email address *
Child’s Name *
Today’s Date *
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1. Does your child have any of the following new or worsening symptoms? Fever (>37.8 degrees Celsius), cough, difficulty breathing, or loss of taste or smell? If “YES”:Stay home, self-isolate & get tested or contact your child’s health care provider. *
Required
2. Does your child have any of the following new or worsening symptoms? Sore throat, painful swallowing, stuffy/runny nose, headache, nausea, vomiting, diarrhea, feeling unwell, muscle aches, feeling tired? If “YES” to ONE symptom: Stay home for 24hrs from when symptom started. If improving after 24hrs, child may return to child care. No test needed. If not improving, or getting worse, self-isolate & get tested. If “YES” to TWO or more symptoms: stay home, self-isolate & get tested or contact your child’s health care provider. *
Required
3. Has your child travelled outside Canada in the past 14 days? *
Required
4. Has your child been identified as a close contact of someone with COVID-19? *
Required
5. Has your child been instructed to stay home and self-isolate? *
Required
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