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COVID-19 Screening Questions

Each individual who attends our facility must answer the following questions no more than 24 hours prior to entry. (Parents: complete a form for yourself and on behalf of each child entering the facility.)

Do you have a new onset, or worsening, of any ONE of the following symptoms? Fever over 38°C or subjective fever/ chills; Cough; Sore throat/ hoarse voice; Shortness of breath/ breathing difficulties; Loss of taste or smell; Vomiting or diarrhea for more than 24 hours.
Do you have a new onset, or worsening, of any TWO of the following symptoms? Runny nose; Muscle aches; Fatigue; Conjunctivitis (pink eye); Headache; Skin rash of unknown cause; Nausea or loss of appetite.
Have you, or a member of your household, been in close contact (within 2 metres / 6 feet for more than 10 minutes total over 24 hours) in the last 14 days with a confirmed COVID-19 case?
Have you been exposed to COVID-19 in a work or public setting?
Have you, or a member of your household, travelled outside of Manitoba in the past 14 days?
Is a member of your household sick with COVID-19 symptoms, and waiting for COVID-19 test results?
Are you, or a member of your household, waiting for COVID-19 testing results?

If you answered "Yes" to any of the above, DO NOT ATTEND our facility.

Thank you!

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