Do you have a fever or have you felt hot or feverish in the past 14-21 days? *
Are you having shortness of breath or other difficulties breathing? *
Do you have a cough? *
Do you have or have you had in the past 14-21 days any other flu-like symptoms, such as gastrointestinal upset, headache or fatigue? *
Have you experienced recent loss of taste or smell? *
Are you in contact with any confirmed COVID-19 positive patients? (Patients who are well but who have a sick family member at home withCOVID-19 should consider postponing elective treatment.) *
Is your age over 60? *
Do you have heart disease, lung disease, kidney disease, diabetes or any auto-immune disorders? *
Have you traveled in the past 14 days to any regions affected by COVID-19? (as relevant to your location) *
Positive responses to any of these would likely indicate a deeper discussion with the dentist before proceeding with elective dental treatment.