Covid Screening

Canpaco internal covid screening, used for all team members at Canpaco.

Please read through carefully and answer the questions below: Yes/No

Have You Travelled Outside Of Canada in the last 14 days? *

Has someone you are in close contact with tested positive for COVID-19 in the last 14 days? *

Are you in close contact with a person who is sick with new respiratory symptoms or who recently travelled outside of Canada? *

Do you have a fever? (temperature ≥ 37.8 °C) *

Do you have any of these symptoms below

Chills
New or worsening cough (dry or productive)
Barking cough (croup)
Shortness of breath/difficulty breathing
Sore throat
Difficulty swallowing
Loss of taste or smell
Pink eye (conjunctivitis)
Headache that is unusual or long-lasting
Runny or stuffy nose (not related to seasonal allergies or other known causes or conditions)
Nausea/vomiting/diarrhea/abdominal pain
Muscle aches
Unexplained fatigue/malaise
Falling more than usual

IF ANY OF THE QUESTIONS ABOVE WERE ANSWERED "YES", PLEASE NOTIFY MARC COHEN FOR FURTHER INSTRUCTIONS. IF ALL OF THE ANSWERS ABOVE ARE "NO", PLEASE FILL YOUR NAME BELOW AND SUBMIT.

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.