Covid19 Questionnaire

1. In the past 24 hours, have you experienced fever, fatigue, cough, sneezing, aches and pains, runny or stuffy now, sore throat, diarrhea, headaches, and or shortness of breath?

2. Have you recently been in close contact with anyone who has exhibited any symptoms?

3. Have you recently been in contact with anyone who has gone for testing or has been tested positive for COVID-19 in the last 14 days?

4. Have you recently traveled to outside of these provinces in the last 14 days: Manitoba, Saskatchewan, Alberta, or British Columbia?