**NEW** Fill out The Form after going through all of the Covid Screening Questions.
Question 1
Are you currently experiencing any of these symptoms?
-- Fever or chills
-- Cough or barking Cough
-- Shortness of breath
-- Sore throat
-- Loss of taste or smell
-- Pink eye
-- Headache
-- None of the above
Question 2
Is anyone you live with currently experiencing any new COVID -19 symptoms and/or waiting for test results after experiencing symptoms? (If you are fully vaccinated -14 days after second dose - select "No" / If the person got a COvid vaccine and experiencing mild headache, fatigue, ect - select "No")
-- Yes
-- No
Question 3
In the last 14 days, have you or anyone you live with travelled outside of Canada? If exempt from federal quarantine requirements, select "No"
https://travel.gc.ca/travel-covid/travel-restrictions/exemptions-- Yes
-- No
Question 4
In the last 14 days, have you been identified as a "close contact" of someone who currently has COVID-19? If you are fully vaccinated (14 days from second dose) and have not been told to self isolate by public health, selct "No"
-- Yes
-- No
Question 5
Has a doctor, health care worker, or public health unit told you that you should currently be isolating (staying at home)? This can be because of an outbreak or contact tracing
-- Yes
-- No
Question 6
In the last 10 days, have you tested positive on a rapid antigen test or home basedself test? If you have since tested negative on a lab-based PCR test, select "No"
-- Yes
-- No
Question 7
In the last 14 days, have you received a COVID alert exposure notification on your cell phone? If fully vaccinated (14 days from second dose) select "No" / If you already went for a test and got a negative result, select "No"
-- Yes
-- No
IF YOU ANSWERED NO TO ALL OF THE SELF-SCREENING QUESTIONS THEN CONTINUE TO FILL IN THE COVID SCREENING ATTESTATION FORM FOR CONTACT TRACING PURPOSES AND GO DOWN TO THE ORC TO ROW.
IF YOU ANSWERED YES TO ANY OF THE SELF-SCREENING QUESTIONS THEN PLEASE STAY HOME UNTIL YOU ARE SURE YOU ARE SAFE TO GO TO THE ORC. YOU CAN DO THE FOLLOWING MINISTRY OF ONTARIO SELF-ASSESSMENT.
https://covid-19.ontario.ca/self-assessment/