St. Stephen's Community House

Part of

The Neighbourhood Group Neighbourhoods Working Together

COVID-19 - Childcare Staff Entry Form - Yonge & Sheppard


Do you have any of the new or worsening symptoms?
Fever and/or chills; Cough (more than usual if chronic cough) including croup (barking cough, making a whistling noise when breathing); Shortness of breath (dyspnea, out of breath, unable to breathe deeply, wheeze, that is worse than usual if chronically short of breath); Decrease or loss of smell or taste (new olfactory or taste disorder).

Do you have any of the new or worsening symptoms?
Sore throat (painful swallowing or difficulty swallowing); Stuffy Nose and/or runny nose (nasal congestion and/or rhinorrhea); Headache that is new and persistent, unusual, unexplained, or long-lasting; Nausea, Vomiting and/or Diarrhea; Fatigue, lethargy, muscle aches or malaise (general feeling of being unwell, lack of energy, extreme tiredness, poor feeding in infants) that is unusual or unexplained

Have you travelled outside of Canada within the last 14 days?

Have you been identified as a close contact of someone who is confirmed as having COVID-19 by your local public health unit (or from the COVID Alert app if they have their own phone)?

Have you been directed by a health care provider including public health official to isolate?