COVID-19 Screening Questionnaire

1. Are you experiencing any of the following new-onset symptoms?

• Fever

• New or worsening cough

• Stuffy or runny nose

• Difficult breathing

• Diarrhea

• Nausea

• Vomiting

• Fatigue

• Muscle aches

• Loss of appetite
  

• Loss of sense of smell

• Sore throat

• Painful swallowing

• Headache

• Chills

2. Have you travelled outside of Canada, including the United States within the last 14 days?

3. Have you been in close contact with someone who has a been diagnosis within the last 14 days?

4. Have you been told to self-isolate in accordance with Public Health directives?

“YES” to any of these questions:

Please refrain from coming in to protect our employees and business.

“NO” to all the questions:

Please fill out the “Personal Info Sheet” when you walk into the showroom.

Thank you, the ENVO family appreciates your patients and your due diligence to stay safe and healthy.