COVID-19 Self-Assessment Tool & Declaration of Health
This self-assessment tool, developed with the BC Ministry of Health, will help determine whether you may need further assessment for COVID-19 testing by a healthcare provider or at a local collection centre. You can complete this assessment for yourself, or on behalf of someone else.
Note that this self-assessment tool is intended for COVID-19 only. Your symptoms may not be related to COVID-19 and could require you to seek medical attention. If you are uncertain and/or feel very sick, contact your family doctor/nurse practitioner or call 8-1-1.
Once you have completed this self-assessment tool and are clear of any COVID-19 symptoms you will able to sign our online waiver and clear to participant in any MSAA Course or Tour.
Sign in to Google
to save your progress.
PLEASE NOTE: Filling out this Declaration of Health for yourself and those participating in your group booking attests that to the best of your knowledge, the statements made are accurate and true.
I agree that the following statements are accurate and true.
Please provide your Order Number (you can find this in your confirmation email)
Are you filling this out for yourself or on behalf of someone else?
My whole group
Are you (or anyone in your group) experiencing any of the following:
• Severe difficulty breathing (e.g. struggling to breathe or speaking in single words)
• Severe chest pain
• Having a very hard time waking up
• Feeling confused
• Losing consciousness
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This form was created inside of Mountain Skills Academy.