Students and children must screen for COVID-19 every day before going to school or child care. Parents/guardians can fill this out on behalf of a child.1. Are they currently experiencing any of these symptoms?Fever and/or chillsYesNoCough or barking cough (croup)YesNoShortness of breathYesNoDecrease or loss of smell or tasteYesNo 2. Are they currently experiencing any of these symptoms?Sore throat or difficulty swallowingYesNoRunny or stuffy/congested noseYesNoHeadache that’s unusual or long lastingYesNoNausea, vomiting and/or diarrheaYesNoExtreme tiredness that is unusual or muscle achesYesNo 3. Have they travelled outside of Canada in the last 14 days?YesNo 4. In the last 14 days, has a public health unit identified them as a close contact of someone who currently has COVID-19?YesNo 5. Has a doctor, health care provider, or public health unit told them/you that they should currently be isolating (staying at home)?YesNo 6. In the last 14 days, have they received a COVID Alert exposure notification on their cell phone?YesNoThanks for completing the screening form! If any symptoms appear that could change your answer to any of the questions over the course of the day, please inform us immediately.Stop! You are a potential risk for COVID-19. Do not enter the workplace and return home to self-isolate immediately. Contact your healthcare provider or Telehealth Ontario at +1 866-797-0000 to determine if you require a COVID-19 test.
