COVID-19 HEALTH CHECK & CONTACT TRACING

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Thank you once again for volunteering to NorthwestFest & Rainbow Visions Film Festivals. The safety of our volunteers, staff, and patrons are of the utmost importance to us.

Please fill in this health check form within 24 hours of the start of each of your shifts. If you are unable to fill it out before the start of your shift, please plan to arrive a few minutes early as you will be required to fill one out at the venue.

However, if your answer is YES to any of these questions, please let Laura, our Volunteer Coordinator know at volunteer@northwestfest.ca ASAP so that she can find a replacement for your shift.
Please do not come to the venue if you answer YES to any of the COVID screening questions.

Email *

Full name *

Phone number *

Date of Your Shift *

YYYY

Time of Your Shift *

Time

Do you have any new onset (or worsening) of any of the symptoms listed below: *

Cough

Sore throat and/or painful swallowing

Runny nose and/or nasal congestion

Fever and/or chills

Feeling unwell and/or fatigued

Nausea/vomiting/diarrhea

Unexplained loss of appetite/taste/sense of smell

Muscle/joint aches or headache

Conjunctivitis (pink eye)

Shortness of breath/difficulty breathing

No, I do not have any of these symptoms

Have you or anyone in your household travelled outside of Canada within the last 14 days? *

Yes

Have you or anyone in your household been in close contact (face-to-face or within 2 meters/6 feet) in the last 14 days with some who is ill, being investigated (awaiting test results) or a confirmed COVID-19 case? *

Yes

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