COVID-19 Screening Questionaire
1. Do you have any of the following new or worsening symptoms or signs?
(Symptoms should not be chronic or related to other known causes or conditions)
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Difficulty breathing or shortness of breath?
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Sore throat, trouble swallowing?
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Runny nose/stuffy nose or nasal congestion?
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Decrease or loss of smell or taste?
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Nausea, vomiting, diarrhea, abdominal pain?
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Not feeling well, extreme tiredness, sore muscles?
2. Have you travelled outside of Canada in the past 14 days?
3. Have you had close contact with a confirmed or probable case of COVID-19?