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The Comfort Zone is required to actively screen patrons as per the advice of the Office of the Chief Medical Officer of Health. This information will only be used by Public Health officials for contact tracing (if necessary). This screening can not diagnose you. If you have medical questions, please consult a health care provider.

If you can not confirm any of these questions or are feeling any Covid-19 related symptoms, please head home, self-isolate and get tested or contact a health care provider.

If you refuse to fill in this Covid-19 screening questionnaire, you will be denied entry. No exceptions.

Full Name *

First

Last

Email Address *

Phone *

No Symptoms *

I confirm in the past 14 days, I have not experienced any Covid-19 related symptoms including fever, cough, shortness of breath, sore throat, difficulty swallowing, congested nose, muscle aches or joint pain, decrease of taste or smell, losing consciousness, extreme tiredness &/or headaches.

Not Tested Positive *

I confirm in the past 14 days, I have not tested positive for Covid-19.

No One In Household *

I confirm no one I live with is currently experiencing Covid-19 symptoms.

No Close Contact/No Self-Isolation *

I confirm in the past 14 days, I have not been identified as a 'close contact' of someone who currently has Covid-19 or been told to stay home and self-isolate.

No Cell Phone Alert *

I confirm in the past 14 days, I have not received a Covid-19 alert exposure notification on my cell phone.

No Travel *

I confirm in the past 14 days, I have not travelled outside of Canada and been instructed to quarantine (as per federal quarantine requirements).