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.
GNAG requires ALL adults to be fully vaccinated (and 14 days past the date of their second vaccination). You will be required to show proof of your second vaccination at your first class.
GNAG works on the assumption that all participants and staff who are eligible are vaccinated so the timeline will always be 5 days. In other businesses/organizations/ where vaccination is not required, their timeline may be 10 days.
1. In the last 5 days have you experienced any of these symptoms?
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 you are symptomatic and 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 you 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 days have you experienced any of these symptoms?
Choose any/all that are new, worsening, and not related to other known causes or conditions you already have.
- 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 days have you 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.
Radio 2
YES NO
4. Do any of the following apply?
You live with someone who is currently isolating because of a positive COVID-19 test
You live with someone who is currently isolating because of COVID-19 symptoms
You live with someone who is 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. Have you 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 you 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, have you travelled outside of Canada and were told to quarantine
In the last 14 days, have you travelled outside of Canada and were told to not attend school/child care
In the last 14 days, someone you live with has returned from travelling outside of Canada and is isolating while awaiting results of a COVID-19 test.
Radio 6
YES NO
Results of Screening Questions
If you answered “YES” to ANY question, you cannot attend any GNAG programs or events. Contact GNAG at info@gnag.ca to let them know that you will not be attending today. See below for isolation and testing requirements.
If you answer YES to any symptoms in #1, you cannot attend any GNAG programs or events 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, you cannot attend any GNAG programs or events 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 #3, you cannot attend any GNAG programs or events 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 #4, you cannot attend any GNAG programs or events 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 #5, you cannot attend any GNAG programs or events 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 #6, you cannot attend any GNAG programs or events 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 #7, you cannot attend any GNAG programs or events 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.
Please notify GNAG at info@gnag.ca or 613-233-8713 if you develop COVID-19.
For more information on GNAG's Covid policies, please go to this link.
Please accept all conditions.
