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COVID Screening Questionnaire for Visitors
Your health and safety and that of others is important to us. In accordance with our policy, we ask that you complete this entry declaration form prior to visiting our offices. The information collected on this form will be used to determine if we can accommodate your request to access the premises.
1. Are you currently free from COVID-19 symptoms
Yes No
2. Have you been in close contact with anyone that you know is currently symptomatic or has tested positive for COVID in the past 14 days?
Yes No
3. Have you been in close contact with anyone that has just returned? from travel outside of Canada during your absence?
Yes No
4. Have you travelled outside of Canada in past one month?
Yes No

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