DAY OF Daily Health Screening.
Not sure what to do? Click here to view a simple flowchart on symptoms and actions from OPH then complete this form.
1. In the last [5, 10] days has the child experienced any of these symptoms?
If the student/child is fully vaccinated OR 11 years old or younger, use 5 days
If the student/child is 12 years of age or older and not fully vaccinated OR if they are immune compromised, use 10 days
Anyone who is sick or has any new or worsening symptoms of illness, including those not listed below, should stay home until their symptoms are improving for 24 hours and should seek assessment from their health care provider if needed. Household members of individuals with any of the below symptoms should stay home at the same time as the person who is sick, regardless of vaccination status.
If the student/child is symptomatic and has tested negative for COVID-19 on a single PCR test or two rapid antigen tests (RAT) taken 24 hours apart, and symptoms have been improving for 24 hours, you may answer “no” to all symptoms.
Choose any/all that are new, worsening, and not related to other known causes or conditions they already have.
- fever or chills
- cough or barking cough
- shortness of breath
- decrease or loss of taste or smell
Radio 0
YES NO
2. In the last [5, 10] days has the student/child experienced any of these symptoms?
If the student/child is fully vaccinated OR 11 years old or younger, use 5 days
If the student/child is 12 years of age or older and not fully vaccinated OR if they are immune compromised, use 10 days
- sore throat (painful difficulty swallowing)
- runny or stuffy nose
- headache
- extreme tiredness/lack of energy/feeling unwell
- muscle aches and pains
- nausea, vomiting and or diarrhea
Radio 1
YES NO
3. In the last [5, 10] days has the student/child tested positive for COVID-19?
This includes a positive COVID-19 test result on a lab-based PCR test, rapid antigen test or home-based self-testing kit.
If the student/child is fully vaccinated OR 11 years old or younger, use 5 days
If the student/child is 12 years of age or older and not fully vaccinated OR if they are immune compromised, use 10 days.
Radio 2
YES NO
4. Do any of the following apply?
The student/child lives with someone who is currently isolating because of a positive COVID-19 test
The student/child lives with someone who is currently isolating because of COVID-19 symptoms
The student/child lives with someone who is currently isolating while waiting for COVID-19 test results
If the individual isolating has not tested positive for COVID-19 and only has one of these symptoms: sore throat or difficulty swallowing, runny or stuffy/congested nose, headache, extreme tiredness, muscle aches or joint pain, nausea, vomiting and/or diarrhea, select “No.”
Radio 3
YES NO
5. Has the student/child been identified as a “close contact” of someone who currently has COVID-19 and been advised to self-isolate?
If public health guidance provided to you has advised you that you do not need to self-isolate, select “No.”
Radio 4
YES NO
6. Has a doctor, health care provider, or public health unit told you that the student/child should currently be isolating (staying at home)?
This can be because of an outbreak or contact tracing.
Radio 5
YES NO
7. Do any of the following apply?
In the last 14 days, the student/child travelled outside of Canada and was told to quarantine
In the last 14 days, the student/child travelled outside of Canada and was told to not attend school/child care
In the last 14 days, someone the student/child lives with has returned from travelling outside of Canada and is isolating while awaiting results of a COVID-19 test.
Please note that if the child/student is not fully vaccinated but is exempt from federal quarantine because they travelled with a vaccinated companion, they must not attend school or child care
Radio 6
YES NO
RESULTS
If you answered “YES” to ANY question, your child CANNOT attend GNAG programs or child-care. Please email GNAG at info@gnag.ca to confirm that your child will not be attending today. See below for isolation and testing requirements
Please notify GNAG at info@gnag.ca or 613-233-8713 if you develop COVID-19.
NOTE: When the option of [5, 10] days is listed:
If the student/child is fully vaccinated OR 11 years old or younger, use 5 days
If the student/child is 12 years old or older AND is not fully vaccinated OR is immune compromised, use 10 days.
If you answer YES to any symptoms in #1, your child cannot attend school/child care or GNAG programs today.
Please go to this link for more detailed action on isolation and testing requirements regarding your answer to this question.
Forfurther guidance call Ottawa Public Health 613-580-6744 for guidance.
If you answer YES to any symptoms in #2, your child cannot attend school/child care or GNAG programs today.
Please go to this link for more detailed action on isolation and testing requirements regarding your answer to this question.
For further guidance call Ottawa Public Health 613-580-6744 for guidance.
If you answer YES to #3 Your child cannot attend school/child care or GNAG programs today.
Please go to this link for more detailed action on isolation and testing requirements regarding your answer to this question.
For further guidance call Ottawa Public Health 613-580-6744 for guidance.
If you answer YES to #4, Your child cannot attend school/child care or GNAG programs today.
Please go to this link for more detailed action on isolation and testing requirements regarding your answer to this question.
For further guidance call Ottawa Public Health 613-580-6744 for guidance.
If you answer YES to #5 or #6, Your child cannot attend school/child care or GNAG programs today.
Please go to this link for more detailed action on isolation and testing requirements regarding your answer to this question.
For further guidance call Ottawa Public Health 613-580-6744 for guidance.
If you answer YES to #7, Your child cannot attend school/child care or GNAG programs today.
Please go to this link for more detailed action on isolation and testing requirements regarding your answer to this question.
For further guidance call Ottawa Public Health 613-580-6744 for guidance.
Please notify GNAG at info@gnag.ca or 613-233-8713 if you develop COVID-19.
Go to this link to view a similar screening tool with more details on the Ontario Public Health site.
For more information on GNAG's Covid policies, please go to this link.
Please accept all conditions.
