Francis St.

COVID-19 Screening

You must stay home if you have COVID-19 symptoms or are waiting for test results after experiencing symptoms (not related to a COVID-19 vaccine, as noted below).

Everyone in your household (unless they are fully vaccinated) must also stay home until you get a negative COVID-19 test result, or you are cleared by public health, or you are diagnosed with another illness.

COVID-19 vaccine side effects

You can go to school/childcare if you or anyone in your household got a COVID-19 vaccine in the last 48 hours and is experiencing any of these symptoms that are mild and only began after vaccination:

• headache
• fatigue (extreme tiredness)
• muscle aches
• joint pain

This screening cannot diagnose you. If you have medical questions, consult a health care provider or your local public health unit.  Listen to the advice of your local public health unit first, as their advice overrules the advice in this screening.

You must screen for COVID-19 every day before going to school/childcare.

Child's First & Last Name:*

1. Is the student/child currently experiencing any of these symptoms? The symptoms listed here are the symptoms most commonly associated with COVID-19. If you have these symptoms, you should isolate and seek testing. Please note that rapid anitgen testing is not to be used for those with symptoms of COVID-19 or for contacts of known COVID-19 cases. Anyone who is sick or has any symptoms of illness, including those not listed below, should stay home and seek assessment from their health care provider if needed. Choose any/all that are new, worsening, and not related to other known causes or conditions they already have.*

Fever and/or chills with a temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher

Cough or barking cough (croup) that is continuous/more than usual/making a whistling noise when breathing and not related to asthma/post-infectious airways or other known conditions they already have

Shortness of breath/out of breath/unable to breathe deeply and that is not related to asthma or other known causes or conditions they already have

Decrease or loss of taste or smell that is not related to seasonal allergies/neurological disorders/or other known conditions they already have

Nausea/vomiting/diarrhea that is not related to irritable bowel syndrome/anxiety/menstrual cramps or other known causes or conditions they already have

None

2. Do any of the following apply to the student/child? If YES, skip questions 3,4,5*

They are fully vaccinated against COVID-19 (it has been 14 days or more since their final dose of either a two-dose or a one-dose series)

They have tested positive for COVID-19 in the last 90 days (and since been cleared)

None of the above

3. Is someone that the student/child lives with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms? If the individual experiencing symptoms received a COVID-19 vaccination in the last 48 hours and is experiencing only mild fatigue, muscle aches, and/or joint pain that only began after vaccination, select “No.”

Fever and/or chills with a temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher

Cough or barking cough (croup) that is continuous/more than usual/making a whistling noise when breathing and not related to asthma/post-infectious airways or other known conditions they already have

Shortness of breath/out of breath/unable to breathe deeply and that is not related to asthma or other known causes or conditions they already have

Decrease or loss of taste or smell that is not related to seasonal allergies/neurological disorders/or other known conditions they already have

Nausea/vomiting/diarrhea that is not related to irritable bowel syndrome/anxiety/menstrual cramps or other known causes or conditions they already have

No

4. In the last 10 days, has the student/child been identified as a 'close contact' of someone who currently has COVID-19? If public health has advised you that you do not need to self-isolate, select NO

Yes

No

5. In the last 10 days, has the student/child received a COVID Alert exposure notification on their cell phone? If the student/child has since tested negative on a lab-based PCR test, select NO

Yes

No

6. Do any of the following apply? In the last 14 days, the student/child travelled outside of Canada and was told to quarantine, OR, In the last 14 days the student/child travelled outside of Canada and was told not to attend school/child care - Please note: if the child/student is not fully vaccinated but is exempt from federal quarantine because they travelled with a vaccinated companion, they must not attend school or child care for 14 days, Select YES if this applies to the student/child*

Yes

No

7. Has a doctor, health care provider, or public health unit told you that the student/child should currently be isolating (staying at home)? This can be because of an outbreak or contact tracing.*

Yes

No

8. In the last 10 days, has the student/child tested positive on a rapid antigen test or a home-based self-testing kit? If the student/child has since tested negative on a lab-based PCR test, select NO*

Yes

No

9. Is someone available during the day for pickup should your child develop symptoms while in care that require them to be sent home?*

Yes

No

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