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I am completing this screen on the day of my visit to Pathway Jiu Jitsu & Wrestling Club *

Have you traveled outside of Canada in the last 14 days? *

Have you been in close contact with someone who returned from outside of Canada in the last 14 days? *

Have you been in close contact with someone who has tested positive for COVID-19 in the past 14 days? *

In the last 14 days, have you received a COVID Alert exposure notification on your cell phone? *

Have you been in close contact with someone with new COVID-19 symptoms (e.g. cough, fever, difficulty breathing, runny nose) in the last 14 days? *

Has a doctor, health care provider, or public health unit told you that you should currently be isolating or staying at home? *

Do you have any of the following symptoms? *

Do you have any of the following symptoms? *

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