1.Do you have a confirmed case of COVID-19 or had close contact with any confirmed COVID-19 patients, or persons self-isolating (because of COVID-19)?

2.Did you have close contact with anyone with acute respiratory illness in the past 14 days?

3.Have you travelled outside of Ontario in the past 14 days?

4.Do you have a fever or felt feverish anytime in the last two weeks?

5.Do you have any of these symptoms: Dry cough? Shortness of breath? Difficulty breathing? Sore throat? Difficulty swallowing? Runny nose or nasal congestions? Chills? Headaches? Unexplained fatigue/malaise? Nausea/vomiting diarrhea, abdominal pain? Pink eye (conjunctivitis) ?

6.Have you experienced a recent loss of smell or taste?

7.If you are over age 70, are you experiencing any of the following symptoms: delirium, unexplained or increased number of falls, acute functional decline, or worsening of chronic conditions?

If you have any of the above symptoms and/or a fever, please self-isolate and contact your family doctor or telehealth Ontario at 1-866-797-0000 to determine the next steps.