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Are you currently experiencing one or more of the symptoms below that are new or worsening? Symptoms should not be chronic or related to other known causes or conditions. Fever and/or chills, Cough or barking cough (croup), Shortness of breath, Decrease or loss of taste or smell, Muscle aches/joint pain, Extreme tiredness. YesNo
In the last 14 days, have you been identified as a “close contact” of someone who currently has COVID-19? If public health has advised you that you do not need to self-isolate (for example, you are fully vaccinated or for another reason), select “No.” YesNo
In the last 14 days, have you travelled outside of Canada and been told to quarantine (per the federal quarantine requirements)? YesNo
Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)? This can be because of an outbreak, contact tracing, or after testing positive on either a rapid antigen/home-based test or a lab-based PCR test. If you have since tested negative on a lab-based PCR test, select "No." YesNo
In the last 14 days, have you received a COVID Alert exposure notification on your cell phone? If you are fully vaccinated (it has been 14 or more days since your final dose of either a two-dose or a one-dose vaccine series), select “No.” If you already went for a test and got a negative result, select “No.” YesNo
Is anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms? If you are fully vaccinated (it has been 14 or more days since your final dose of either a two-dose or a one-dose vaccine series), select “No.” If the person got a COVID-19 vaccine in the last 48 hours and is experiencing a mild headache, fatigue, muscle aches, and/or joint pain that only began after vaccination, select “No.” YesNo
In the last 10 days, have you tested positive on a rapid antigen test or home-based self-testing kit? If you have since tested negative on a lab-based PCR test, select “No.” YesNo
In the last 14 days, has anyone you live with:travelled outside of Canada and been told to quarantine (per the federal quarantine requirements)? or been identified as a “close contact” of someone who currently has COVID-19 and been told to self-isolate by a doctor, healthcare provider, or public health unit? If you are fully vaccinated, select “No.” YesNo
