COVID-19 Employee Screening

Stride Orthotics & RehabCOVID-19 Employee Screening

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Employee COVID-19

As per the new Government of Ontario directive, employers in all sectors must screen employees for COVID-19 symptoms at the beginning of each work day and keep record of completion.

IMPORTANT
If you answer YES to any of the following questions, do not enter your workplace.

* Required

First and Last Name *

Email Address *

Do you have any new/worsening COVID-19 symptoms? *

(unrelated to allergies or known chronic conditions)

No to all symptoms

Fever and/or chills

Yes

Decrease or loss of smell or taste

Yes

Cough

Yes

Shortness of breath

Yes

Do you have TWO or more of the following new/worsening COVID-19 symptoms?*

(unrelated to allergies or known chronic conditions)

No to all symptoms

Muscle aches/Joint pain

Yes

Extreme fatigue

Yes

Sore throat, (painful, difficulty swallowing)

Yes

Nasal congestion (runny or stuffy nose)

Yes

Headache (persistent and/or unusual)

Yes

Nausea, vomiting, diarrhea

Yes

In the past 10 days, have you or someone you live with been sick with COVID symptoms or tested positive (PCR or RAT)? *

Have you been advised to self-isolate for any reason? (i.e. close contact with COVID-19 case, outbreak, etc.) *

Have you travelled outside of Canada in the past 14 days AND been told to quarantine under the federal quarantine requirements? *

SIGN OFF

By clicking Submit, you are confirming that the responses you provided above are accurate.

Brampton Location:
60 Gillingham Dr., Suite 202
Brampton, ON L6X 0Z9
T: 905-789-9700
F: 905-789-9703

natashao@strideorthoticsandrehab.com

Peterborough Location:
26 Hospital Drive, Suite 106
Peterborough, ON K9J 7C3
T: 705-740-6819
F: 705-740-6520

natashao@strideorthoticsandrehab.com