Ontario COVID-19 Daily Screening Checklist (under 18)
Students and children must screen for COVID-19 every day before entering our facility. Parents/guardians can fill this out on behalf of a child.
Screening Questions (answer YES or NO to all questions)
1. Are they currently experiencing any of these symptoms?
Temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher
- Cough or barking cough (croup)
Continuous, more than usual, making a whistling noise when breathing, not related to other known causes or conditions (for example, asthma, postinfectious reactive airways)
Out of breath, unable to breathe deeply, not related to other known causes or conditions (for example, asthma)
- Decrease or loss of smell or taste
Not related to other known causes or conditions (for example, allergies, neurological disorders)
- Sore throat or difficulty swallowing
Painful swallowing, not related to other known causes or conditions (for example, seasonal allergies, acid reflux)
- Runny or stuffy/congested nose
Not related to other known causes or conditions (for example, seasonal allergies, being outside in cold weather)
- Headache that’s unusual or long lasting
Not related to other known causes or conditions (for example, tension-type headaches, chronic migraines)
- Nausea, vomiting and/or diarrhea
Not related to other known causes or conditions (for example, irritable bowel syndrome, anxiety in children, menstrual cramps)
- Extreme tiredness that is unusual or muscle aches
Fatigue, lack of energy, poor feeding in infants, not related to other known causes or conditions (for example, depression, insomnia, thyroid disfunction, sudden injury)
Select yes if any of the symptoms are new, worsening, and not related to other known causes or medical conditions.
YES NO
2. Have they travelled outside of Canada in the last 14 days and are not fully vaccinated against Covid-19?
YES NO
3. In the last 14 days, has a public health unit identified them as a close contact of someone who currently has COVID-19?
YES NO
4. Has a doctor, health care provider, or public health unit told them/you that they should currently be isolating (staying at home)?
YES NO
5. In the last 14 days, have they received a COVID Alert exposure notification on their cell phone?
YES NO
If an individual answered YES to any questions, they are not allowed to enter the facility. They should isolate (stay home) and not leave except to get tested or for a medical emergency. You should contact your health care provider or Telehealth Ontario (1 866-797-0000) to find out if they need a COVID-19 test.
Any record created as part of patron screening may only be disclosed as required by law.
Please accept all conditions.