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!


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

  

Please call 911 or go directly to your nearest emergency department.



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

  

Please call 811 to speak with a nurse.


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

    • They may have provided you with an Outbreak or El Number, but this is not required to book a COVID-19 test appointment.


  

You must immediately self-isolate. You are recommended to be tested for COVID-19.

You must self-isolate until you receive further instruction.

You are legally required to self-isolate. If you DO NOT get tested – you must isolate for 10 days from the onset of symptoms AND until symptoms have resolved (whichever is latest). Individuals who are tested, MUST isolate pending their results and should visit ahs.ca/results for further information regarding the next steps they must take following their test results.

Please Click on the Alberta Health Services "Learn More" Link Below.

Please provide your contact information and healthcare number below. 

You will be contacted to confirm your symptoms and discuss next steps which may include a referral for testing.

Learn more 

IMPORTANT

If your symptoms worsen, call 811.

Call 911 if you are seriously ill and need immediate medical attention. Inform them that you may have COVID-19.



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

  

You are recommended to be tested for COVID-19.

It is strongly advised that you stay home and minimize contact with others until you are feeling better.

Any Albertan who tests positive for COVID-19 is legally required to self-isolate until determined to not be infectious by public health.

Please Click on the Alberta Health Services "Learn More" Link Below.

Please provide your contact information and healthcare number below. 

You will be contacted to confirm your symptoms and discuss next steps which may include a referral for testing.

Learn more 

IMPORTANT

If your symptoms worsen, call 811.

Call 911 if you are seriously ill and need immediate medical attention. Inform them that you may have COVID-19.

© Alberta Health Services 2020 Terms of Use Privacy Statement


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
  • loss of sense of smell or taste
  • conjunctivitis (pink eye)

  

You must self-isolate. You do not need to be tested for COVID-19.

As of March 25, Albertans are legally required under public health order to self-isolate for 14 days after returning from travel outside of Canada or from the date of close contact with someone who is confirmed as having COVID-19.

  • Please do not visit a hospital, physician’s office, lab or healthcare facility without consulting Health Link (811) first.
  • Don't go to any public places.
  • Stay at home, and don’t have any visitors.
  • Don’t share personal items like dishes, utensils, and towels.
  • Wash your hands often.
  • Avoid close contact with other people, especially those with chronic conditions, a compromised immune system, or seniors (over 65 years of age).
  • If you do develop any COVID-19 symptoms, take this self-assessment again.

Encourage members of your family to practice physical distancing.

If you have any other questions about COVID-19, please visit AHS.ca/COVID.


Question 6 - In the past 14 days, were you notified that you are a close contact of a confirmed case of COVID-19 by :

  • AHS
  • Your employer
  • Someone who tested positive for COVIO-19

  

You must self-isolate. You do not need to be tested for COVID-19.

As of March 25, Albertans are legally required under public health order to self-isolate for 14 days after returning from travel outside of Canada or from the date of close contact with someone who is confirmed as having COVID-19.

  • Please do not visit a hospital, physician’s office, lab or healthcare facility without consulting Health Link (811) first.
  • Don't go to any public places.
  • Stay at home, and don’t have any visitors.
  • Don’t share personal items like dishes, utensils, and towels.
  • Wash your hands often.
  • Avoid close contact with other people, especially those with chronic conditions, a compromised immune system, or seniors (over 65 years of age).
  • If you do develop any COVID-19 symptoms, take this self-assessment again.

Encourage members of your family to practice physical distancing.

If you have any other questions about COVID-19, please visit AHS.ca/COVID.


Question 7 - 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 8 - In the past 14 days, did you return from travel outside of Canada?


  

General Information


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 physical distancing. This is not the same as self-isolation. You do not need to remain indoors, but you do need to avoid being in close contact with people.
  • 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 or runny nose.
  • If you do develop any COVID-19 symptoms, stay home and take this self-assessment again.

If you have any other questions about COVID-19, please visit AHS.ca/COVID.