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Covid-19 Screening
Please complete the self screening form below and present your results.
First Name
*
Last Name
*
Email Address
*
Phone
How old are you?
*
17 years old or younger
18 years old or older
select one
Which location are you visiting?
*
locations
Downtown Oakville
Uptown Yonge
Bayview Village
Royal Bank Plaza
select one
Are you experiencing any of the following?
*
unexplained fatigue
muscle aches, fever, chills or shakes
a new onset of or worsening cough, sore throat
shortness of breath
decrease or loss of sense of taste or smell
none of the above
select as many that apply
Have you tested positive for COVID-19 in the past 10 days or have been told to isolate?
*
Yes
No
select one
Have you traveled outside of Canada within the last 14 days?
*
Yes
No
select one
Have you had close contact with a confirmed case of COVID-19 without wearing appropriate PPE?
*
Yes
No
select one
YOU HAVE PASSED THE COVID-19 SCREENING TEST
COVID-19 Screening Result
YOU HAVE NOT PASSED THE COVID-19 SCREENING TEST
COVID-19 Screening Result
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