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COVID SCREENING CHECKLIST

COVID SCREENING FORM

1. Do you have any of the following symptoms: fever/feverish, new or existing cough, and difficulty breathing?
2. Have you traveled internationally within the last 14 days (outside of Canada)
3. Have you had close contact with a confirmed or probable COVID-19 case?
4. Have you had close contact with a person with an acute respiratory illness who has been outside Canada in the last 14 days?
5. Who is attending today's lesson?
Time of Lesson
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