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.