COVID Survey

Your name

Your email

Your number

Only click the checkbox at the end if you answer no to all these questions:

Do you have a fever or chills?

Difficulty breathing or shortness of breath?

Cough?

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?

Have you traveled outside of Canada in the past 14 days?

Have you had close contact with a confirmed or probably case of COVID-19?

I answered no to each question