COVID-19 SCREENING QUESTIONS

Have you had close contact with anyone with acute respiratory Illness or travelled outside of Ontario in the past 14 days?

Do you have a confirmed case of COVID-19 or had close contact with a confirmed case of COVID-19?

Do you have any of the following symptoms:

• 􏰀  Fever

• 􏰀  New onset of cough

• 􏰀  Worsening chronic cough

• 􏰀  Shortness of breath

• 􏰀  Difficulty breathing

• 􏰀  Sore throat

• 􏰀  Difficulty swallowing

• 􏰀  Decrease or loss of sense of taste or smell

• 􏰀  Chills

• 􏰀  Headaches

• 􏰀  Unexplained fatigue/malaise/muscle aches (myalgias)

• 􏰀  Nausea/vomiting, diarrhea, abdominal pain

  Pink eye (conjunctivitis)

• 􏰀  Runny nose/nasal congestion without other known cause

Are you 70 years of age or older, experiencing any of the following symptoms: delirium, unexplained or increased number of falls, acute functional decline, or worsening of chronic conditions?