COVID-19 Checklist - Sodagar & Company Law Corporation

Have you had any of these symptoms within the precising 14 days?

Fever or chills
Cough or worsening of chronic cough
Shortness of Breath
Sore throat
Runny nose
Loss of sense of smell or taste
Headache
Fatigue
Diarrhea
Loss of appetite
Nausea and vomiting
Muscle Aches

Are you or is anyone in your core bubble, presently waiting to get a COVID-19 test or waiting for the result of a COVID-19 test?*

Yes
No

Being in "close contact" means being within 6 feet of the other individual for longer than 15 minutes. A "core bubble" is the people you spend the most time with and are physically close to. For some people, their core bubble is their immediate household. For others, it may contain a partner, relative, friend, or co-parent who lives in a different household.

Have you returned from international travel in the last 14 days?*

Yes
No

Have you travelled outside of your local health region, other than for work, in the last 14 days?*

Yes
No

Are you a confirmed contact of a person confirmed to have COVID-19?*

Yes
No

If you are a confirmed contact, you must follow the directions from public health for self-isolation and confirm that the self-isolation period has concluded before return to work. If, during your period of self-isolation, you develop any of the Key Symptoms of illness, you must follow the guidelines established by the Government.

Have you, in the preceding 14 days, been in close contact with anyone who had any of the key symptoms of illness?*

Yes
No