Covid-19 Pre-visit Screening Questionnaire Which location are you visiting today? ---KitsilanoDowntown Have you, or anyone in your household travelled outside of Canada within the last 14 days?: NoYes Have you been tested positive, or show any symptoms of Covid-19 within the last 14 days? NoYes Are you currently waiting for test results for Covid-19? NoYes Have you been identified by Public Health as a close contact of someone with Covid-19? NoYes Are you required to self-isolate?NoYes DATE:
