Jr. Nursery - COVID-19 Daily Screening
Thank you for taking the time to answer these questions. The following questions are mandatory for you to complete prior to 8:30 AM daily.
Email address *
Child's Full Name *
What is their temperature this morning? *
Question 1: Does your child have any of the following new or worsening symptoms? Symptoms should not be chronic or related to other known causes or conditions. *
Yes
No
Fever and/or chills (temperature of 37.8°C/100.0°F or greater)
Cough
Shortness of breath
Decrease or loss of sense of taste or smell
Question 2: Does your child have any of the following new or worsening symptoms? Symptoms should not be chronic or related to other known causes or conditions. *
Yes
No
Sore throat
Stuffy nose and/or runny nose
Headache that is new and persistent, unusual, unexplained, or long-lasting
Nausea, vomiting and/or diarrhea NOT related to other known causes or conditions
Fatigue, lethargy, or malaise
Question 3: Has your child travelled outside of Canada in the past 14 days? *
Question 4. Have you or your child been identified as a close contact of someone who is confirmed as having COVID-19 by your local Public Health unit? (COVID Alert app does not apply). *
Question 5. Has your child been directed by a health care provider including Public Health official to isolate? *
Any additional notes about your childs' well being?
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