To keep Service Providers (SP), Customers and all Stakeholders safe, we are following local PHO requirements and mandating that every SP be assessed for COVID-19 symptoms and risk factors each day before starting her/his work day.Name *1. Do you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions. Felt Feverish and/or a Documented Fever *YesNoChills *YesNoSweats *YesNoCough *YesNoShortness of Breath or Difficulty Breathing *YesNoNot Feeling Well, Extreme Tiredness, or Muscle Pain *YesNoSore Throat or Trouble Swallowing *YesNoRunny/Stuffy Nose or Nasal Congestion *YesNoNew Loss of Taste or Smell *YesNo2. Have you had close contact (less than 6 feet for at least 15 minutes) with someone with confirmed diagnosis of COVID-19 within the last 14 days? *YesNo3. Have You Travelled Internationally In The Last 14 Days? *YesNo Reullts of Screening Question If the SP answers NO to all questions from 1 through 3, they have passed and can proceed to appointments / work for the balance of the day. If the SP answers YES to any questions from 1 through 3, they have not passed and they should not venture outside to visit customers, to perform any services. The SP should stay home to self-isolate immediately and contact their health care provider or http://www.bccdc.ca/health-info/diseases-conditions/covid-19/about-covid-19/if-you-are-sick to find out if they require a COVID-19 test. VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: Click Here to Visit BCCDC.CA