STAGE 3 COVID-19 EMPLOYEE SCREENING
You must screen before going to work each day, even if you have been vaccinated. Read about the public health measures in effect for more details.

The questions in this tool have been defined by the Ministry of Health. Screening is not required for emergency services or other first responders entering a workplace for emergency purposes.

This screening cannot diagnose you. If you have medical questions, consult a health care provider. Follow the direction of your local public health unit over the advice in this tool.

I understand that keeping the workplace safe is everyone's responsibility and that if I am found to have answered any of these questions falsely that I may face disciplinary action up to and including dismissal.
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Department or Location *
Please select the department/location from the list below that best matches where you are assigned to work.
Employee Name *
Please enter FIRST and LAST name.
Employee Number *
The four digit employee number. For contract employees please enter 0000
1. Are you currently experiencing any of these symptoms? Choose any/all that are new, worsening, and not related to other known causes or conditions you already have. *
2. Is anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms? *
If you are fully vaccinated (it has been 14 or more days since your final dose of either a two-dose or a one-dose vaccine series), select “No.”If the person got a COVID-19 vaccine in the last 48 hours and is experiencing a mild headache, fatigue, muscle aches, and/or joint pain that only began after vaccination, select “No.”
3. In the last 14 days, have you travelled outside of Canada and been told to quarantine (per the federal quarantine requirements)? *
4. In the last 14 days, have you been identified as a “close contact” of someone who currently has COVID-19? *
If public health has advised you that you do not need to self-isolate (for example, you are fully vaccinated or for another reason), select “No.”
5. Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)? *
This can be because of an outbreak or contact tracing.
6. In the last 10 days, have you tested positive on a rapid antigen test or home-based self-testing kit? *
If you have since tested negative on a lab-based PCR test, select "No".
7. In the last 14 days, have you received a COVID Alert exposure notification on your cell phone? *
If you are fully vaccinated (it has been 14 or more days since your final dose of either a two-dose or a one-dose vaccine series), select “No.”If you already went for a test and got a negative result, select “No.”
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