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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? (Temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher)
Cough? (Not related to asthma, post-infectious reactive airways, COPD, or other known causes or conditions you already have)
Difficulty breathing or shortness of breath? (Not related to asthma or other known causes or conditions you already have)
Decrease or loss of smell or taste? (Not related to seasonal allergies, neurological disorders, or other known causes or conditions you already have)
In the last 10 days has someone you live with developed any standard COVID symptoms (cough, fever, difficulty breathing, decrease/loss of taste or smell?
Do you or someone you live with have 2 or more of the following symptoms: 1) runny nose or nasal congestion, 2) unusual long lasting headache, 3) extreme fatigue, 4) sore throat, 5) muscle aches or joint pain, 6) vomiting/diarrhea
In the last 14 days, have you or anyone you live with travelled outside of Canada AND been advised to quarantine (as per federal quarantine requirements)?
Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?
In the last 10 days, have you been identified as a "close contact" of someone who currently has COVID-19 (confirmed by PCR or rapid test)? (If public health has exempted you due to vaccination select NO)
In the last 10 days, have you received a COVID Alert exposure notification on your cell? (If you have already tested negative, are fully vaccinated or have tested positive in the last 90 days and been cleared select NO)
In the last 10 days, have you or a household member tested positive on a rapid antigen test or a home-based self-testing kit? (If you've since tested negative on a lab-based PCR test, select NO)
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