1. Are you currently experiencing one or more of the symptoms below that are new or worsening? Symptoms should not be chronic or related to other known causes or conditions:
• Fever and/or chills - Temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher
• Cough or barking cough (croup) - Not related to asthma, post-infectious reactive airways, COPD, or other known causes or conditions you already have
• Shortness of breath - Temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher
• Decrease or loss of smell or taste - Not related to seasonal allergies, neurological disorders, or other known causes or conditions you already have
• (For adults 18 years or older) Fatigue, lethargy, malaise and/or myalgias - Unusual tiredness, lack of energy (not related to depression, insomnia, thyroid dysfunction, or other known causes or conditions you already have. If you received a COVID-19 vaccination in the last 48 hours and are experiencing mild fatigue that only began after vaccination, select "No."
• (For children < 18 years) Nausea, vomiting and/or diarrhea - Not related to irritable bowel syndrome, anxiety, menstrual cramps, or other known causes or conditions you already have
2. In the last 10 days, have you been identified as a "close contact" of someone who currently has Covid-19?
If public health has advised you that you do not need to self-isolate (if you are fully immunized or have tested positive for COVID-19 in the last 90 days and since been cleared), select "No."
3. In the last 14 days, have you travelled outside of Canada AND been advised to quarantine (as per the federal quarantine requirements)?
4. In the past 10 days, at work or elsewhere, did you have close contact with someone who has a probable or confirmed case of COVID19?
If public health has advised you that you do not need to self-isolate (if you are fully immunized or have tested positive for COVID-19 in the last 90 days and since been cleared) select "No."
5. Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?
This can be because of an outbreak or contact tracing.
6. In the last 10 days, have you received a COVID Alert exposure notification on your cell phone?
If you already went for a test and got a negative result, select "No."
If you are fully immunized or have tested positive for COVID-19 in the last 90 days and since been cleared, select "No."
7. Is anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms?
If you are fully immunized or have tested positive for COVID-19 in the last 90 days and since been cleared, select "No."
If the person got a COVID-19 vaccine in the last 48 hours and is experiencing a mild headache, fatigue, muscle aches, and/or joint pain that only began after vaccination, select "No."
8. In the last 10 days, have you tested positive on a rapid antigen test or home-based self-testing kit?
If you have since tested negative on a lab-based PCR test, select "No."
9. In the last 14 days, has someone in your household (someone you live with) you travelled outside of Canada AND been advised to quarantine (as per the federal quarantine requirements)?
If you are fully immunized, or have tested positive for COVID-19 in the last 90 days and since been cleared, select "No."
10. In the last 10 days, has someone in your household (someone you live with) been identified as a "close contact" of someone who currently has COVID-19 AND advised by a doctor, health care provider or public health unit to self-isolate in the last 10 days?
If you are fully immunized, or have tested positive for COVID-19 in the last 90 days and since been cleared, select "No."
Do any of the above questions apply to you?*