OAS STAFF PRE-SCREENING
COVID-19 SELF SCREENING QUESTIONNAIRE - STAFF
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All OAS Staff MUST use this questionnaire daily to decide if you should come to work.
* Required
Risk Management:  Initial Screening Questions
Full Name *
1. In the last [5, 10] days have you experienced any of these symptoms?• If you are fully vaccinated, use 5 days• If you are not fully vaccinated OR if you are immune compromised, use 10 days. Anyone who is sick or has any new or worsening symptoms of illness, including those not listed below, should stay home until their symptoms are improving for 24 hours and should seek assessment from their health care provider if needed. Household members of individuals with any of the below symptoms should stay home at the same time as the person who is sick, regardless of vaccination status. If you are symptomatic and tested negative for COVID-19 on a single PCR test or two rapid antigen tests (RAT) taken 24 hours apart, and symptoms have been improving for 24 hours, you may answer “no” to all symptoms. Choose any/all that are new, worsening, and not related to other known causes or conditions you already have *
必填
2. In the last [5, 10] days have you experienced any of these symptoms?• If you are fully vaccinated, use 5 days• If you are not fully vaccinated OR if you are immune compromised, use 10 days. Choose any/all that are new, worsening, and not related to other known causes or conditions you already have. *
必填
3. In the last [5, 10]days have you tested positive for COVID-19?This includes a positive COVID-19 test result on a lab-based PCR test, rapid antigen test or home-based self-testing kit.• If you are fully vaccinated, use 5 days• If you are not fully vaccinated OR if you are immune compromised, use 10 days. *
4. Do any of the following apply?• You live with someone who is currently isolating because of a positive COVID-19 test• You live with someone who is currently isolating because of COVID-19 symptoms• You live with someone who is waiting for COVID-19 test results. If the individual isolating has not tested positive for COVID-19 and only has one of these symptoms: sore throat or difficulty swallowing, runny or stuffy/congested nose, headache, extreme tiredness, muscle aches or joint pain, nausea, vomiting and/or diarrhea, select “No.” *
5. Have you been identified as a “close contact” of someone who currently has COVID-19 and been advised to self-isolate? If public health guidance provided to you has advised you that you do not need to self-isolate, select “No.” *
6. Has a doctor, health care provider, 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. *
7. Do any of the following apply? • In the last 14 days, have you travelled outside of Canada and were told to quarantine • In the last 14 days, have you travelled outside of Canada and were told to not attend school/child care • In the last 14 days, someone you live with has returned from travelling outside of Canada and is isolating while awaiting results of aCOVID-19 test. *
* "UNPROTECTED" means close contact without appropriate personal protective equipment (PPE).  If you have answered "YES" to any of the above questions, please DO NOT enter the school at this time.  You should stay home and use the COVID-19 Self-Assessment Tool to determine whether you need to be tested for COVID-19.https://covid-19.ontario.ca/self-assessment/.  If you have answered "NO" to all the above questions, you may attend school.
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