20201122 - Hockey NL RTH Screening Form

 

Have you or anyone in your family (not including asymptomatic rotational; workers):

1. traveled in the last 14 days outside the Atlantic Provinces (New Brunswick, Nova Scotia, Prince Edward Island and Newfoundland and Labrador) or outside the communities along the Labrador-Quebec border (Labrador City, Wabush, Fermont, the Labrador Straits area and Blanc Sablon)?

2. been in close contact with a known or suspected case of COVID-19 in the last 14 days?

3. been in close contact, in the last 14 days, with a person suffering from acute respiratory illness who has travelled outside of the identified areas within 14 days prior to illness onset?

4. had two or more of the following symptoms (new or worsening) in the last 14 days:

· Fever (or signs of a fever, such as chills, sweats, muscle aches, and light-headedness);

· Cough;

· Headache;

· Sore throat;

· Runny nose;

· Painful swallowing;

· Diarrhea;

· Loss of sense of smell or taste;

· Unexplained loss of appetite; OR,

· Small red or purple spots on your hands and/or feet

 

If you answer “YES” to any of the above, you are not permitted to attend any CBRMHA Session. If you answer “NO” to all the above, you can attend scheduled CBRMHA Session.