STAFF Check In STAFF COVID-19 Daily Health Screening Today's Date * SHIFT scheduled (times) * Employee's Full Name * Body temperature today (If your temperature is 37.8C (100.4F) or higher, please stay home! Take body temperature via ear, tongue or armpit thermometer. * Do you or any member of your household have any one of the following symptoms: fever, new onset of cough, worsening chronic cough, shortness of breath, difficulty breathing, sore throat, difficulty swallowing, decrease or loss of sense of taste or smell, chills, headaches, unexplained fatigue/malaise/muscle aches, nausea/vomiting, diarrhea, abdominal pain, pink eye (conjunctivitis), runny nose/nasal congestion without other known cause? * No Yes - Please contact your manager & stay home Have you traveled outside of Ontario in the past 14 days? * No Yes - Please contact your manager & stay home Do you have a confirmed case of COVID-19 or had close contact with a confirmed or probable case of COVID-19 within the last 14 days? * No Yes - Please contact your manager & stay home If you are human, leave this field blank. Submit