COVID-19 Health Screening
The Village Gym Vaughan Health Screening

If you have answered "NO" to all questions from 1 through 4, you have passed and can enter the gym.

If you have answered "YES" to any questions from 1 through 4, you have not passed and you cannot enter the gym. You will need to go home to self-isolate immediately and contact your health care provider or Telehealth Ontario (1-866-797-0000) to find out if you will need a COVID-19 test.
Day of Week and Full name (Monday-Luke Durward) *
1. Do you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions. *
Fever or chills
Difficulty beathing or shortness of breath
Sore throat or trouble swallowing
Runny nose/stuffy nose or nasal congestion
Decrease or loss of smell or taste
Nausea, vomitting, diarrhea, abdominal pain
Not feeling well, extreme tiredness, sore muscles
2. Have you or anyone in your household travelled outside of Canada within the last 14 days? *
3. Have you had close contact with a confirmed or probable COVID-19 case? *
4. Have you been given fever-reducing medicine in the last 5 hours? *
5. Have you had close contact with a person with fever, cough, and shortness of breath, difficulty breathing or acute respiratory illness who has been outside of Canada in the last 14 days? *
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