1. Do you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions
Fever or chills *
Difficulty breathing or shortness of breath *
Cough *
Sore throat, troubling swallowing *
Runny nose/stuffy nose or nasal congestion
Clear selection
Decrease or loss of smell or taste *
Nausea, vomiting, diarrhea, abdominal pain *
Not feeling well, extreme tiredness, sore muscles *
2. Have you travelled outside of Atlantic Canada in the past 14 days and/or been in close contact with anyone who has? *
3. Have you had close contact with a confirmed or probable case of COVID-19? Close contact means: being less than 2m away in the same room, workspace, or area for over 15min | Living in the same home *
4. Have you been diagnosed with COVID-19 in the last 14 days? *
5. Have you visited/worked in any locations during a time identified as a known potential COVID exposure? *
I solemnly and sincerely declare that the information I have provided is true and correct and as I make this solemn declaration conscientiously believing the same to be true. If any person should suffer as a result of the information being found to be untrue and false, then I am aware I can be prosecuted for making a false declaration. If either I or someone I have been in contact with tests positive for covid-19 I will inform you. *
Required
If you have answered YES or MAYBE to any of the questions, please stay home and take the online lesson. Thank you for your understanding and cooperation.