To provide a safe environment for staff, volunteers, participants, and contractors, we require you fill out the below questionnaire to assist in determining your fitness to visit Seasons Centre during the COVID-19 pandemic.

The information in this questionnaire is collected under the authority of Freedom of Information and Protection of Privacy Act RSO 1990, Chapter F.31 and will be used and disclosed solely for the purposes of determining fitness to attend during the COVID-19 pandemic.

Please ensure that you are following protocols for healthy hand hygiene at all times, and also remember to clean your keys, phone, computers, and other personal items.

This questionnaire intends to identify new or worsening symptoms that are related to allergies, chronic or pre-existing conditions. Those with symptoms related to pre-existing conditions or allergies can still go to work, attend groups, or access the centre.

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In the past 14 days, at work or elsewhere, while not wearing appropriate personal protective equipment:

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Upon submission, your completed questionnaire will automatically be sent to the screener.

If you answered "YES" to any of the above, you are not permitted to attend groups or visit the centre at this time and you must self-isolate. Complete the Self-Assessment Tool to determine your need for COVID-19 testing. Please inform all managers/supervisors/group coordinators you report to.

If you answered "NO" to all of the above, you can proceed to visit the centre and attend groups. If you develop symptoms, please complete a new questionnaire.

All persons allowed to enter the facility beyond the screening area will be provided with a suitable protective mask and hand sanitizer.

¹Close contact includes providing care, living with, or otherwise having close prolonged contact (within 2 metres) while the person was ill, or contact with infections bodily fluids (e.g. from a cough or sneeze) while not wearing recommended personal protective equipment. 

²Probable case is a person with a clinical illness who had close contact to a lab-confirmed COVID-19 case, while not wearing appropriate personal protective equipment, OR a person with a clinical illness who meets the COVID-19 exposure criteria, AND in whom laboratory diagnosis of COVID-19 is inconclusive. Clinical illness of a probably case is new onset/exacerbation of the following symptoms: fever (over 38 degrees Celsius), cough, shortness of breath/difficulty breathing, sore throat, or runny nose. Exposure criteria for a probably case is a person who, in the last 14 days before onset of illness: had any history of travel outside of Canada; OR had close contact with a confirmed or probably case of COVID-19; OR is a close contact of a traveler with acute respiratory illness who returned from outside Canada in the previous 14 days; OR had a laboratory exposure to biological material (e.g. primary clinical specimens, virus culture isolates) know to contain COVID-19.