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  • Who
    • Our Company
    • Meet Our Team
    • News
    • Awards
  • Work
    • Services
      • Brand Design
      • Digital Experiences
      • Package Design
      • Retail Experiences
      • Strategy
    • Markets
      • Associations/Non-Profit
      • Financial Services
      • Foodservice
      • Food & Beverage
      • Health & Pharmaceutical
      • Public Sector
      • Sports & Entertainment
      • Retail
      • Telecommunications
    • Case Studies
  • Insights
    • Blog
    • White Papers
    • Podcast
    • Publications
    • Webinars
    • Speaking Engagements
  • Connect
    • Contact Us
    • Team Client
    • Media Kit

COVID-19 Self Screening Questionnaire

Step 1 of 4

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Due to the COVID-19 pandemic, health & safety precautions require you to complete daily screening questions to assess your fitness.


All visitors MUST complete the screening questionnaire within 2 hours before entering the building.


We require your email address in the event of a COVID positive exposure at SLD. Staff will notify you if this does occur.

Are you fully vaccinated?(Required)

Please confirm that you are NOT presenting any of the following symptoms of COVID-19:

• Shortness of breath and/or difficulty breathing • Cough • Fever (usually 38 degrees or higher) • Chills • Repeated shaking with chills • Muscle pain • Headache • Sore Throat • New loss of taste or smell(Required)

In the last 14 days have you:

Been in contact with someone who was diagnosed with COVID-19?(Required)
Been in close contact with someone who had COVID-19 symptoms ?(Required)
Travelled internationally or taken a cruise(Required)
On returning to Canada what were the results of your COVID test?(Required)
This field is for validation purposes and should be left unchanged.