Staff

Adventure Academy Inc

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Staff Screening

PLEASE COMPLETE PRIOR TO YOUR ARRIVAL

Please complete the screening questions prior to arrival.
Should you answer "Yes" to any of the questions, please contact Sonya McEwen

Staff Screening

* Indicates required field

Staff Name (First and Last) *

Have you been in close contact without PPE with a confirmed or probable case of COVID-19? *

Yes No

Recent travel outside of Canada? *

Yes No

If Yes, where? *

New or worsened cough, shortness of breath, chest pain or difficulty breathing? *

Yes No

Close contact with a person with respiratory illness who has been outside of Canada 14 days prior to onset of symptoms? *

Yes No

Diarrhea, abdominal pain, nausea or vomiting? *

Yes No

Fever or chills? *

Yes No

Sore throat? *

Yes No

Headache or fatigue? *

Yes No

Sluggishness or falls? *

Yes No

Runny nose, sneezing or congestion? *

Yes No

Hoarse voice? *

Yes No

Decreased appetite? *

Yes No

Difficulty swallowing? *

Yes No

Smell or taste disorders? *

Yes No

Has ibuprofen or acetaminophen been administered within the last 5 hours? *

Yes No

If Yes, Why? *

Feeling confused or loss of consciousness? *

Yes No

Temperature: *

Time Temperature Taken: *

Submit

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Menu
About
Waitlist
Home
Meet the Team
News
- Monthly Newsletter
Contact

Staff Screening

​PLEASE COMPLETE PRIOR TO YOUR ARRIVAL

Staff Screening

PLEASE COMPLETE PRIOR TO YOUR ARRIVAL