Please Fill Out This Ministry Of Health COVID-19 Screening Questionnaire

COVID 19 Questionnaire:

  • Please answer all the COVID 19 related questions below and hit SUBMIT. Thank you.

    If you do NOT have any of the above symptoms, please check the first option.

  • If you are 70 years of age or older, are you experiencing any of the following symptoms: delirium, unexplained or increased number of falls, acute functional decline, or worsening of chronic conditions?