Norcan Infinity Inc.


 Coronavirus (COVID-19) Exposure Self-Assessment Survey

COVID-19 SELF-ASSESSMENT

Use this self-assessment tool to help determine whether you need to be tested for COVID-19. You can complete this assessment for yourself or on behalf of someone else, if they are not able.

Testing will tell you whether you have COVID-19 at time of test, even if you are not showing symptoms.

If you have questions about COVID-19 or novel coronavirus, please visit the following resources:

Do the right thing to stop the spread: Protect your loved ones by practicing physical distancing. We all have a role to play!


Do you have an exemption from the Rapid Antigen Screening (RAS) program. :


  


Do you have a negative RAS result in the last 72 hours :


  

Do not come to site, contact your supervisor.


Question 1 - Are you experiencing any of the following :

  • severe difficulty breathing (e.g., struggling for each breath, speaking in single words)
  • severe chest pain
  • having a very hard time waking up
  • feeling confused
  • lost consciousness

Question 2 - Are you experiencing any of the following :

  • shortness of breath at rest
  • inability to lie down because of difficulty breathing
  • chronic health conditions that you are having difficulty managing because of your current respiratory illness

Question 3 - In the past 14 days, were you notified that you were connected to an outbreak by :

  • AHS
  • Your employer
  • The organizer of a social or sporting event you attended

Question 4 - In the past 10 days, have you experienced any of the following :

  • fever
  • new onset of cough or worsening of chronic cough
  • new or worsening shortness of breath
  • new or worsening difficulty breathing
  • sore throat
  • runny nose
  • loss of sense of smell or taste

Question 5 - Do you have any of the following :

  • chills
  • painful swallowing
  • stuffy nose
  • headache
  • muscle or joint ache
  • feeling unwell, fatigue or severe exhaustion
  • nausea, vomiting, diarrhea or unexplained loss of appetite
  • conjunctivitis (pink eye)

Question 6 - Did you recently receive a positive test result on a COVID-19 Point of Care (POC) test, taken somewhere other than an AHS assessment centre, that requires confirmation?

Question 7 - Are you returning from travel outside of Canada, or did you return in the past 14 days?

Select Yes if any apply or No if none apply
  


Take steps to protect yourself and others.


All Albertans have a responsibility to help prevent the spread of COVID-19. There are steps you can take to protect yourself and others.

  • Practice good hygiene: wash hands often, cover coughs and sneezes, and avoid touching your face.
  • Monitor for COVID-19 symptoms: fever, cough, shortness of breath, sore throat, runny nose or loss of sense of smell or taste.
  • If you do develop any COVID-19 symptoms, stay home and take this self-assessment again.

Quarantine is no longer required for close contacts of confirmed cases of COVID-19. Those who are not fully immunized are recommended to avoid high-risk locations such as continuing care and crowded indoor spaces if they have been in contact with a case in the past 14 days.