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  • 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?*
This field is for validation purposes and should be left unchanged.