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Field Sessions ZacsTracs COVID-19 Pre-Screening Questions
COVID Questions
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1.
Full Name
(Required.)
*
2.
Date of class
(Required.)
Jan 23 - Valemount
Jan 24 - Valemount
Feb 6 - Golden
Feb 13 - Golden
Feb 14 - Valemount
Feb 27 - Valemount
Mar 13 - Valemount
Mar 20 - Valemount
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3.
Have you travelled outside of Canada (including the United States) within the last 14 days?
(Required.)
Yes (If yes, do not attend class, contact Lori via telephone)
No
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4.
Have you been in contact with any confirmed COVID-19 positive patients, or persons self isolating because of a determined risk for COVID-19, without wearing appropriate PPE within the last 14 days? (Healthcare workers who have worn appropriate PPE may answer no)
(Required.)
Yes (If yes, do not attend class, contact Lori via telephone)
No
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5.
Within the past 14 days:
Have you had any of the following symptoms, Which are new and not previously diagnosed as allergies, chronic, or pre-existing related issues?
Fever of 38°C or higher, or feeling hot, chills/feverish?
(Required.)
Yes (If yes, do not attend class, contact Lori via telephone)
No
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6.
Cough or worsening of a chronic cough? Shortness of breath or other difficulties breathing?
(Required.)
Yes (If yes, do not attend class, contact Lori via telephone)
No
*
7.
Flu like symptoms (sore throat, stuffy nose, headache, fatigue, diarrhea, loss of appetite, nausea and vomiting, muscle aches)?
(Required.)
Yes (If yes, do not attend class, contact Lori via telephone)
No
*
8.
Recent alteration or loss of sense of smell or taste? Any new and/or unusual symptoms (feeling unwell, conjunctivitis (pinkeye), or sudden onset of runny nose)?
(Required.)
Yes (If yes, do not attend class, contact Lori via telephone)
No
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