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COVID-19 Screening Questionnaire

By Tushar Patel

Nov 13, 2020

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.

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