SELF SCREENING TOOLS

Children & Youth will need a parent to assist them with this self screening tool.  Screening should be done EVERY time you attend class.

This questionnaire intends to identify new symptoms or worsening symptoms that are not related to allergies, chronic or pre-existing conditions.

If an individual answers YES to any of these questions, they MUST NOT be allowed to participate in the sport or activity.

1.  Does the person attending the activity experience any of the symptoms below:

CHILLS                                                                     YES/NO

COUGH                                                                     YES/NO

Shortness of breath/difficulty breathing       YES/NO

Painful Swallowing                                              YES/NO

Fatigued                                                                   YES/NO

Nausea/Vomiting/Diarrhea                               YES/NO

Loss of taste/smell                                                 YES/NO

Muscle/Joint aches                                                 YES/NO

Headache                                                                  YES/NO

Conjunctivitis/Pink Eye                                        YES/NO

Has the student or anyone in their household traveled outside Canada in the last 14 days?               YES/NO

Has the student or anyone in their household had any close unprotected contact (face to face contact within 2 meters/6ft) with someone who is ill with cough or fever?                                                                                 YES/NO

Has the student or anyone in their household been in close unprotected contact in the last 14 days with someone who is being investigated or confirmed to be a case of Covid-19?                                                                                 YES/NO

If the answer is YES to any of the above questions, the student SHOULD NOT attend class.