COVID-19 Daily Screening
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電子郵件 *
Name (First and last) *
Class/Shift start time *
時間
:
Group/Personnel *
Do you have any of the following symptoms or any other cold, flu, or Covid-19 like symptoms: fever and chils, cough, shortness of breath, sore throat and painful swallowing, stuffy or runny nose, loss of sense of smell, headache, fatigue. *
必填
Have you travelled outside of Canada in the past 14 days, or have you been in close contact with anyone who has? *
必填
Have you had close contact with anyone with respiratory illness or a confirmed or probable/suspected case of COVID-19? *
必填
If YES to any of the above please describe and DO NOT enter DDGC.
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