1. Have you or anyone who resides in your home travelled outside of Canada in the last 14 days and cannot provide proof of 2 vaccine doses or been told to quarantine? *
2. Have you or anyone who resides in your home experienced any of the following symptoms over the last 14 days: fever, dry cough, shortness of breath or difficulty breathing? *
3. Have you or anyone who resides in your home been in contact with someone exhibiting the following symptoms over the last 14 days: fever, dry cough, shortness of breath or difficulty breathing? *
4. Have you or anyone who resides in your home had contact with anyone with a suspected or confirmed case of COVID-19 *
