ScreamFest Staff Health Check

 

STAFF HEALTH CHECK

Do you have any of the follow: Fever, Cough, Shortness of Breath/Difficulty Breathing, Sore Throat, Chills, Painful Swallowing, Runny Nose/Congestions, Feeling Unwell/Fatigue, Nausea/Vomiting/Diarrhea, Unexplained Loss of Appetite, Muscle/Joint Aches, Headache, Conjunctivitis (Pink Eye)
No, I do not have any of the above symptoms:
Yes, I have symptoms:
Have you travelled outside of Canada in the last 14 days?
No, I have not travelled outside of Canda in the last 14 days:
Yes, I have travelled outside of Canada in the last 14 days:
Have you had close contact with a confirmed case of covid-19 in the last 14 days?
No, I have not had close contact with a confirmed case:
Yes, I have had cotact with a confirmed case:
Have you had close contact with someone who has covid-19 symptoms (listed above)?
No, I have not had close contact with someone with symptons:
Yes, I have had close contact with someone with symptoms:
Name (First / Last):

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