* indicates required fields Name* Date of meeting* MM slash DD slash YYYY Email* Phone NumberWho is your contact at FII*ReceptionAliAmberlyAntjeCarolinaChandelChristinaDavidDouglasFaranGerryJenniferJimJulianaKaitieKirstenLauraLindsayMichaelMichelleNatalie CNatalie DOpreetSonyaVictoriaZoish Have you travelled outside of Canada or had close contact with anyone that has travelled outside of Canada in the past 14 days? Have you had close contact with anyone with respiratory illness or a confirmed or probable case of COVID-19? Do you currently have any of the following new or worsening symptoms Symptoms should not be chronic or related to other known causes or conditions: Fever or chills Cough Shortness of breath Runny nose, sneezing or nasal congestion (not including seasonal allergies or post nasal drip) Sore throat, hoarse voice or difficulty swallowing Change of smell or taste Nausea, vomiting, diarrhea, abdominal pain Unexplained fatigue / malaise Headache Do you answer 'YES' to any of the above questions?* YES NO PhoneThis field is for validation purposes and should be left unchanged.
