To comply with the Public Health Officer’s orders of November 7, 2020, all staff entering a workplace within the Vancouver Coastal or Fraser Health Regions must answer the following questions prior to entering the workplace. Daily heath checks are only to be completed by staff based on the Public Health Officer’s orders, not clients or public. Some of these questions may sound personal but they are important to help ensure the health and safety of everyone in the workplace:

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

Fever, Fatigue, New or worsening cough, Muscle aches, Stuffy or runny nose, Loss of appetite, Sore throat/painful swallowing, Chills, Difficulty breathing, Headache, Diarrhea , Nausea and/or vomiting



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


3.Have you been in close contact with someone who has a confirmed COVID-19 diagnosis within the last 14 days?

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

5.Please Enter your Full Name.