Fever (temperature of 37.8°C/100.0°F or greater is considered a fever and child/educator should be sent home) *

Yes

No

Cough (more than usual if chronic cough) including croup (barking cough, making a whistling noise when breathing) Not related to other known causes or conditions (e.g., asthma, reactive airway) *

Yes

No

Shortness of breath (dyspnea, out of breath, unable to breathe deeply, wheeze, that is worse than usual if chronically short of breath) Not related to other known causes or conditions (e.g., asthma) *

Yes

No

Fatigue, lethargy, muscle aches or malaise (general feeling of being unwell, lack of energy, extreme tiredness, poor feeding in infants) that is unusual or unexplained (If the student/child received a COVID-19 vaccination in the last 48 hours and is experiencing mild fatigue and/or mild muscle aches/joint pain that only began after vaccination, select “No.” ) *

Yes

No

Decrease or loss of smell or taste (new olfactory or taste disorder) Not related to other known causes or conditions (e.g., nasal polyps, allergies, neurological disorders) *

Yes

No

Nausea, vomiting and/or diarrhea Not related to other known causes or conditions (e.g. transient vomiting due to anxiety in children, chronic vestibular dysfunction, irritable bowel syndrome, inflammatory bowel disease, side effect of medication) *

Yes

No

Muscle aches - Unexplained, unusual, or long-lasting (not related to sudden injury, fibromyalgia, or other known causes or conditions) If you received a COVID-19 vaccination in the last 48 hours and are experiencing mild muscle aches/joint pain that only began after vaccination, select “No.” *

Yes

No

Questions 2- Did you receive your final (or second in a two-dose series) COVID-19 vaccination dose more than 14 days ago, or have you tested positive for COVID-19 in the last 90 days and have since been cleared? If YES, skip questions 3, 4, 5. *

Yes

No

Question 3 - Is anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms? If the individual experiencing symptoms received a COVID-19 vaccination in the last 48 hours and is experiencing mild headache, fatigue, muscle aches, and/or joint pain that only began after vaccination, select “No.”

Yes

No

Question 4 -- 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, select “No.”

Yes

No

Question 5 - 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.”

Yes

No

Question 6 - In the last 14 days, have you travelled outside of Canada and been advised to quarantine as per the federal quarantine requirements? *

Yes

No

Question 7 - 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. *

Yes

No

Question 8 - In the last 10 days, have you tested positive on a rapid antigen test or a home-based self-testing kit? If you have since tested negative on a lab-based PCR test, select “No.” *

Yes

No