Covid Screening

    Symptom Screening Form

    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.
    Fever or Chills?
    YesNo
    Difficulty breathing or shortness of breath?
    YesNo
    Cough?
    YesNo
    Sore throat or trouble swallowing
    YesNo
    Runny nose/stuffy nose or nasal congestion?
    YesNo
    Decrease or loss of smell or taste?
    YesNo
    Nausea, vomiting, diarrhea, abdominal pain?
    YesNo
    Not feeling well, extreme tiredness, sore muscles?
    YesNo
    Have you travelled outside of Canada in the past 14 days?
    YesNo
    Have you had close contact with a confirmed or probable case of COVID-19?
    YesNo
    If you have answered yes to any of the above questions you are not to enter the work place. Please self-isolate and contact your health care provider or Telehealth Ontario (1 866-797-0000) to find out if you need a COVID-19 test.

    Ken Shaw ToyotaCovid Screening