Your name:

Your email address:

Your phone number:

Which building will your visit?
85 Bronson95 BronsonBoth buildingsThe GarageAll of the above

Which unit will you visit ?

Purpose of visit?

Date of your visit (Click on calendar to expand)

COVID SCREENING QUESTIONS

Have you been diagnosed with COVID-19 and have not been cleared by medical professionals?
YesNo

Are you waiting the results of a lab test for COVID-19?
YesNo

Are you currently experiencing any of the following COVID-19 symptoms:
    -Fever (37.8C / 100F or more)
    -Chills
    -Cough or barking cough (croup)
    -Shortness of breath
    -Decrease or loss of taste or smell
    -Muscle aches/Joint pain
    -Extreme tiredness
YesNo

In the last 10 days, have you been identified as a "close contact" of someone who currently has COVID-19 or exhibits any of the COVID-19 symptoms identified above. (If public health has advised you that you do not need to self-isolate, select "No")
YesNo

In the last 10 days, have you received a COVID Alert exposure notification (on your cell phone or otherwise)? (If you already went for a PCR test and received a negative result, select 'No')
YesNo

Have you been in close physical contact (while not wearing the appropriate personal protective equipment) with someone you don't live with who is either:
    -Is sick with COVID-19 Symptoms in the last 10 days;
    -has returned from outside of Canada in the last 14 days.

YesNo

In the last 14 days, have you travelled outside of Canada?
(If exempt from federal quarantine requirement (for example, you are fully vaccinated and have received a negative PCR test result, check "No")
YesNo

DO NOT enter the building if you answered YES to any of the above.

You must agree to the following terms to be able to submit your screening form.

My answers to the above are truthful/accurate.

I will advise the condo corporation (vince@apollomgt.com) if I develop any of the above symptoms in the next 14 days or if I am diagnosed with COVID-19.

By pressing submit you agree to have the above information sent to the condo corporations and/or their management. You will get a copy of your answers by email.

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