Screening Tool

SCREENING QUESTIONNAIRE

1. Do you have any of the symptoms below?

• Fever (greater than 38 degrees Celsius)

• New onset of (or exacerbation of chronic) cough

• Difficulty breathing

• Shortness of breath

• Sore throat

• Runny Nose

• Loss of taste or smell

2. Have you returned to Canada from outside the country (including the USA) in the last 14 days?

3. Do you live with or have had close contact* (within two meters/six feet) with a person with an influenza-like illness who had travelled outside of Canada in the 14 days before their illness started, while:

• Not wearing recommended PPE at work and/or

• Not practicing social distancing as appropriate to the setting.

4. Do you live with or have had close contact* (within two meters/six feet) with a person with an influenza-like illness who had close contact with a labconfirmed COVID-19 case, while;

• Not wearing recommended PPE and/or

• Not practicing social distancing as appropriate to the setting.

5. Have you had close contact* (within two meters/six feet) with a confirmed or probable case of COVID-19, while:

• Not wearing recommended PPE and/or

• Not practicing social distancing as appropriate to the setting.

*Close contact is an individual that provided care for the case, including healthcare workers, family members or other caregivers, or who had other similar close physical contact without consistent and appropriate use of personal protective equipment (PPE), or lived with or otherwise had close prolonged contact (within two meters/six feet) with a person while the case was ill, or had direct contact with infectious body fluids of a person (e.g. was coughed or sneezed on) while not wearing recommended PPE.

If you answered “YES” to any of the above, you will not be permitted to attend the guild at this time. Please notify the president.

If you answer “NO” to all the above you can proceed to the guild.