COVID-19 Assessment

Are you currently experiencing any of these symptoms?

Choose any/all that are new, worsening, and not related to other known causes or medical conditions.

Fever and/or chills Temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher

Cough or barking cough (croup)Continuous, more than usual, making a whistling noise when breathing, not related to other known causes or conditions (for example, asthma, post-infectious reactive airways)

Shortness of breathOut of breath, unable to breathe deeply, not related to other known causes or conditions (for example, asthma)

Decrease or loss of taste or smellNot related to other known causes or conditions (for example, allergies, neurological disorders)

None of the above
Continue

Are you currently experiencing any of these symptoms?

Choose any/all that are new, worsening, and not related to other known causes or medical conditions.

Sore throat or difficulty swallowing Painful swallowing, not related to other known causes or conditions (for example, seasonal allergies, acid reflux)

Runny or stuffy/congested noseNot related to other known causes or conditions (for example, seasonal allergies, being outside in cold weather)

Headache that’s unusual or long lastingNot related to other known causes or conditions (for example, tension-type headaches, chronic migraines)

Nausea, vomiting, and/or diarrheaNot related to other known causes or conditions (for example, irritable bowel syndrome, anxiety in children, menstrual cramps)

Extreme tiredness that is unusual or muscle achesFatigue, lack of energy, poor feeding in infants, not related to other known causes or conditions (for example, depression, insomnia, thyroid disfunction, sudden injury)

None of the above
Continue

Are you currently experiencing any of these symptoms?

Choose any/all that are new, worsening, and not related to other known causes or medical conditions.

Fever and/or chills Temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher

Cough or barking cough (croup)Continuous, more than usual, making a whistling noise when breathing, not related to other known causes or conditions (for example, asthma, post-infectious reactive airways)

Shortness of breathOut of breath, unable to breathe deeply, not related to other known causes or conditions (for example, asthma)

Sore throatNot related to other known causes or conditions (for example, seasonal allergies, acid reflux)

Difficulty swallowingPainful swallowing, not related to other known causes or conditions

Decrease or loss of taste or smellNot related to other known causes or conditions (for example, allergies, neurological disorders)

Pink eyeConjunctivitis, not related to other known causes or conditions (for example, reoccurring styes)

Digestive issues like nausea/vomiting, diarrhea, stomach pain Not related to other known causes or conditions (for example, irritable bowel syndrome, anxiety in children, menstrual cramps)

Runny or stuffy/congested noseNot related to other known causes or conditions (for example, seasonal allergies, being outside in cold weather)

Headache that’s unusual or long lastingNot related to other known causes or conditions (for example, tension-type headaches, chronic migraines)

Muscle aches that are unusual or long lastingNot related to other known causes or conditions (for example, a sudden injury, fibromyalgia)

Extreme tiredness that is unusual or muscle achesFatigue, lack of energy, poor feeding in infants, not related to other known causes or conditions (for example, depression, insomnia, thyroid disfunction, sudden injury)

Falling down oftenFor older people

None of the above
Continue

Have you been in close contact with someone who is sick or has confirmed COVID-19 in the past 14 days?
YesNo

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