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COVID Questionnaire

• Have you tested positive for COVID-19 that you have not fully recovered from?


• Are you experiencing any of the following symptoms? *(Not related to a previously documented health concern)

  • fever (i.e. chills, sweats)

  • cough or worsening of a previous cough

  • sore throat

  • headache

  • shortness of breath*

  • muscle aches

  • sneezing

  • nasal congestion/runny nose

  • hoarse voice

  • diarrhea

  • unusual fatigue

  • loss of sense of smell or taste

  • red, purple or blueish lesions on the feet, toes, or fingers without clear cause


• Have you traveled outside of Nova Scotia within the last 14 days?


• Have you had unprotected close contact with individuals who have a confirmed or presumptive diagnosis of COVID-19 (e.g. individuals exposed without appropriate PPE in use)?

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