This tool has been developed to support activity organizers, employers, businesses and facility
operators in reducing the risk of transmission of COVID-19 among attendees/staff. The tool is meant
to be used to assist with assessing attendees who may be symptomatic, or who may have been
exposed to someone who is ill or has confirmed COVID-19.

Attendees should fill out this checklist prior to participating in the activity or program. If an individual
answers YES to any of the questions, they must not be allowed to attend or participate in the activity
or program. Children and youth will need a parent to assist them to complete this screening tool.
As the COVID-19 pandemic continues to evolve, this screening tool will be updated as required.

Screening Questions