COVID-19 Employee Screening
Please take a few moments to fill out this form. You must complete the screening before entering the office.

If anyone in your household has been diagnosed with COVID-19, has symptoms, or is awaiting test results, all non-vaccinated individuals from the household must stay home until the person with symptoms has a negative COVID-19 test result, or is cleared by a medical or public health official.
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What's your full name? *
What's your email address? *
Project name or office *
Are you currently experiencing any of these symptoms? (Not as a result of asthma, allergies, COVID-19 vaccine side effects, or any other known causes or conditions) *
Required
Have you travelled outside of Canada in the past 14 days? *
In the last 14 days, have you been in close physical contact with someone who is showing symptoms, currently has COVID-19 in their system or returned from travelling outside of Canada? *
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