I confirm that:
1. I or a member of my household are not experiencing any of the following symptoms:
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Fever
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Chills
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Cough
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Shortness of breath
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Sore throat and painful swallowing
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Stuffy or runny nose
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Loss of sense of smell
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Headache
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Muscle aches
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Fatigue
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Loss of appetite
2. I or a member of my household have not returned from travel outside Canada within the last fourteen days.
3. I or a member of my household have not been directed to quarantine or self-isolate by a public health official.
4. I confirm that I am aware that Zona’s staff will have to be closer that 2 meters in order to provide services.