COVID-19 PRE-SCREENING QUESTIONNAIRE

    Are you experiencing any of the following:

    • severe difficulty breathing (e.g., struggling for each breath, speaking in single words)

    • severe chest pain

    • having a very hard time waking up

    • feeling confused

    • lost consciousness

    Are you experiencing any of the following:

    • shortness of breath at rest

    • inability to lie down because of difficulty breathing

    • chronic health conditions that you are having difficulty managing because of your current respiratory illness

    In the past 10 days, have you experienced any of the following:

    • fever

    • new onset of cough or worsening of chronic cough

    • new or worsening shortness of breath

    • new or worsening difficulty breathing

    • sore throat

    • runny nose

    In the past 14 days, did you return from travel outside of Canada, or did you have close contact with someone who is confirmed as having COVID-19?

    If you have answered YES to any of the above questions Please call 811 to speak with a nurse. Because you may need to speak with a nurse about your symptoms, please call 811. You may be recommended to get tested for COVID-19.

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