Did you receive your final (or second) vaccination dose more than 14 days ago?
    yesno

    Have you travelled outside Canada in the last 14 days?
    yesno

    Have you had close contact with a confirmed case of COVID-19 without wearing appropriate PPE?
    yesno

    Have you tested positive for COVID-19 in the past 10 days or have you been told you should be isolating?
    yesno

    Fever and/or chills
    yesno

    New onset of cough or worsening chronic cough
    yesno

    Shortness of breath
    yesno

    Decrease or loss of sense of smell or taste
    yesno

    If an adult >18 years of age: unexplained fatigue/lethargy/malaise/muscle aches
    yesno

    If a child <18 years of age: nausea/vomiting, diarrhea
    yesnon/a