Covid-19 Screening Questionnaire
PLEASE READ THE FOLLOWING QUESTIONS CAREFULLY
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
- Difficulty breathing or shortness of breath
- Sore throat, trouble swallowing
- Runny nose/stuffy nose or nasal congestion
- Decrease or loss of smell or taste
- Nausea, vomiting, diarrhea, abdominal pain
- Not feeling well, extreme tiredness, sore muscles
Results of Screening Questions:
Have you travelled outside of Ontario in the past 14 days?
- Have you had close contact with a confirmed or probable case of COVID-19
If you answered NO to all questions from 1 through 3, you have passed and are welcome to dine here.
If you answered YES to any questions from 1 through 3, then we are unable to accommodate you at this time. We recommend that you go home to self-isolate immediately and contact your health care provider or Telehealth Ontario (1 866-797-0000) to find out if you need a COVID-19 test.
Thank you for keeping our community safe.