Hand Hygiene

HEALTH SCREENING

QUESTIONNAIRE

In order to ensure the health and safety of our clients, staff, and community, it is important that all those attending any of our services complete this health questionnaire, please fill out the following form.

This form should be filled out no more than 1 day before your event/camp to ensure that the answers given are still valid during your time at Happimess. 

Please note that this form must be submitted prior to your event/camp.

If you have any questions or concerns with the completion of this form, please contact our administrative team at 6048373890

Contact Information 

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   Health 

Have you had any of the following symptoms in the last two weeks: Cough | Shortness of Breath/Difficulty Breathing | Runny Nose or sneezing | Nasal Congestion/Stuffy Nose | Hoarse voice | Sore throat/Painful Swallowing | Difficulty swallowing | Nausea/Vomiting/Diarrhea/Unexplained Loss of Appetite
Have you had close contact (face-to-face contact within 2 meters/6 feet) in the last 14 days with someone who is being investigated or confirmed to be a case of COVID-19 without the use of appropriate PPE?
Have you had a fever (37.5°C or higher) in the last 2 weeks?
Have you, or anyone in your household travelled outside of BC in the last 14 days?