Risk Assessment: Screening Questions - Bow Cycle Fit Please answer the following questions: * required Name Do you have any of the following symptoms which are new or worsened if associated with allergies, chronic or pre-existing conditions: fever, cough, shortness of breath, difficulty breathing, sore throat, and/or runny nose? -Select One- Yes No Are you experiencing any of the following symptoms: chills, painful swallowing, stuffy nose, headache, muscle or joint ache, feeling unwell, fatigue or severe exhaustion, nausea, vomiting, diarrhea, or unexplained loss of appetite, loss of sense of smell or taste, conjunctivitis (pink eye) -Select One- Yes No Have you returned to Canada from outside the country (including USA) in the past 14 days? If you are participating in the COVID-19 Border Testing Pilot Program and have quarantined for less than 14 days please let us know -Select One- Yes No In the past 14 days, at work or elsewhere, while not wearing appropriate personal protective equipment: -Select One- Yes No Did you have close contact* with someone who has a probable or confirmed case of COVID- 19? -Select One- Yes No In the last 14 days, have you been in contact with someone that is being investigated or confirmed to be a case of COVID-19? -Select One- Yes No Did you have close contact* with a person who had acute respiratory illness who returned from travel outside of Canada in the 14 days before they became sick? -Select One- Yes No Did you have a laboratory exposure to biological material (i.e. primary clinical specimens, virus culture (i.e. primary clinical specimens, virus culture isolates) known to contain COVID-19? -Select One- Yes No Keep this field blank
