COVID Screening for Condos

To protect our staff and residents, all contractors and service providers attending or working inside our buildings (including in the units) must be screened for COVID-19 before they enter the building. This screening must be done every day you attend our site.

Please complete the Screening Questionnaire below before entering our building. Once you submit it, a copy of your answers will be sent to our Property Manager.

First Name

Last Name

Phone

Which Building are you visiting?

Which unit will you visit?

Purpose of visit?

Date of your visit (click calendar to expand)

In the last 14 days, have you travelled outside of Canada?

Yes

In the last 14 days, have you been identified as a "close contact" of someone who currently has COVID-19?

Yes

In the last 14 days, have you received a COVID alert exposure notificatio on your cell phone? If you alrady went for a test and got a negative result, select "No".

Yes

HEALTH RELATED QUESTIONS

Are you currently experiencing any of these symptoms? Choose any/all that are new, worsening, and not related to other known causes or conditions you already have.

Fever and/or chills: Temperature of 37.8 degrees Celsius /100 degees Fahrenheit or higher

Yes

Cough or barking cough: Continuous, more than usual, making whistling nose when breathing (not related to asthma, COPD or other known causes or conditions you already have

Yes

Shortness of breath: Being outof breath, unable to breath, unable to breathe deeply (not related to asthma or other known causes or conditions you already have)

Yes

Sore Throat: Not related to seasonal allergies,acid reflux, or other known causes or conditions you already have.

Yes

Runny or Stuffy/congested nose: Not related to seasonal allergies, being outside in cold weather, or other known causes or conditions you already have.

Yes

Decrease or loss of taste or smell: Not related to seasonal allergies, neurological disorders, or other known causes or conditions you already have

Yes

Pink eye: Conjunctivitis ( not related to reoccuring styes or other known causes or conditions you already have)

Yes

Headache: Unusual, long-lasting (not related to tension-type headaches, chronic migraines, or other known causes or conditions you already have)

Yes

Digestive issues: Like nausea/vomitting, diarrhea, stomach pain. Not related to irritable bowel syndrome, menstrual cramps, or other known causes or conditions you already have)

Yes

Muscle aches: Unusual, long-lasting (not related to a sudden injury, fibromyalgia, or other known causes or conditions you already have.

Yes

Extreme tiredness: Unusual, fatigue,lack of energy ( not related to depression, insomnia, thyroid dysfunction, or other known causes or conditions you already hav

Yes

DO NOT enter the building if you answered YES to any of the above.

My answers to the above are truthful/accurate.

I will advise the occupants of the unit I visited if I develop any of the above symptoms in the next 14 days or if I am diagnosed with COVID-19.

By pressing submit you agree to have the above information sent to the condo corporation and/or their management.

Thanks for submitting!

The information collected as part of this screening process is collected for COVID tracing purposes only. It will be retained by our Property Manager for a period of at least one month. If requested to do so under the Health Protection and Promotion Act or under any other applicable legislation, our Property Manager may disclose this information to a medical officer of health or any other authorized agent or inspector. Our Property Manager may also use this information for tracing purposes or to communicate a known case of infection to other users or owners/occupants. Our Property Manager must also advise the local health unit if two or more people test positive for COVIF-19 in connection with this premises within a 14 day interval.