Health Check Questionnaire Covid

This template is fully customizable.

Health check questionnaire covid. In order to determine if you should contact health links info santé 204 788 8200 or toll free at 1 888 315 9257 or seek other medical advice you will be asked to respond to a few. This sign can be placed on cash register counters cabinets or fridges. Covid 19 coronavirus in ontario webpage find a testing location check your results how to stop the spread of the virus.

Face masks can be removed to check id. Coronavirus covid 19 client name. You have tested positive for coronavirus.

This simple employee covid 19 self screening questionnaire will allow you to track the health condition of your employee and make sure you take all the precautionary measures in order to prevent the spreading of coronavirus in the workspace. You have any symptoms of coronavirus covid 19. Ate d fd airfield i faculty staff students only sponsoring employee visitors only weekly dated responses record option.

My answer to questions 1 3 above is no check box my answer to question 1 above is yes check box my answer to question 2. In canada the self assessment questions used in the app are modeled after the province of ontario s covid 19 self assessment tool and the public health agency of canada s covid 19. The screening questionnaire is based on the latest assessment questions available from public health officials i e.

As the coronavirus covid 19 pandemic continues we are monitoring the situation closely and following the guidance from the centers for disease control and prevention and local health authorities. November 25 2020 version 4 6 updated questions and results to align with newest public health guidance. Staff coronavirus covid 19 health questionnaire.

Take this self assessment if you were exposed to covid 19 novel coronavirus or have symptoms. Ask staff a daily health check set assessment modeled on the dhhs staff coronavirus covid 19 health questionnaire. Covid 19 health monitoring questionnaire.