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 of breathing

• sore throat

• runny rose

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if YES, you are encouraged to self-isolate or be tested for Covid-19

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

if YES, you are encouraged to self-isolate or be tested for Covid-19