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General Public Screening Questionnaire

The Tri-Township Arena and the Tri-Township Arena Board is taking steps to protect the health and safety of their employees. Screening of all individuals, including our own employees, is a condition of being granted entry to this facility.

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.

Do you have a fever? (Temperature of 37.8 degrees Celsius or higher)
 
Cough or barking cough (croup), shortness of breath, or decrease or loss of smell or taste.
 

For adults > 18 years or older

Fatigue, lethargy, malaise and/or myalgias.
 

For youth < 18 years

Nausea, vomiting and/or diarrhea.
 
In the last 14 days, have you or anyone you live with travelled outside of Canada AND been advised to quarantine (as per the federal quarantine requirements)?
 
Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?
 
In the last 10 days, have you been identified as a “close contact” of someone who currently has COVID-19?
 
In the last 10 days, have you received a COVID alert exposure notification on your cell phone?
 
In the last 10 days, have you tested positive on a rapid antigen test or a home based self-testing kit?
 
Is anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms?
 


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