Only if applicable to the preferred phone number.
Results of Screening Questions:
• If you answerd NO to all questions, then you have passed and can enter the workplace.
• If you answered YES to any questions, you have not passed and are advised to not enter the workplace (including any outdoor, or
partially outdoor, workplaces). Please self-isolate immediately and
contact your health care provider or Telehealth Ontario (1 866-797-0000)to find out if you
need a COVID-19 test.
Please remember to fill out this questionnaire every day before coming onsite. Thank you!