6476062010 info@mrclassy.ca
  • 6476062010
  • info@mrclassy.ca

COVID-19 Screening

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Required Screening Questions

The safety of our customers is our overriding priority. As the coronavirus (COVID-19) pandemic continues, In order to prevent the spread of the coronavirus and reduce the potential risk of exposure to our customers, we are asking everyone to complete and submit this questionnaire prior to entering the shop. You can do this online, or You can take the screening offline by downloading a PDF file and sending the result to us via email: Info@mrclassy.ca. The questions in this tool have been defined by the Ministry of Health.

offline PDF Screening Questions  

Please make sure you follow the following steps:
• Measure your temperature before you come, if your temperature is more than 37.5 ◦C reschedule your appointment.
• Wear a mask ( NOT required )
• Sanitize and wash your hands
• Do not shake hands
If you have any symptoms of COVID-19, please reschedule your appointment.
We cannot accept anyone with COVID-19 symptoms by law, so if you show any symptoms, we will have to reschedule your appointment.

    _Please respond to each of the following questions truthfully and to the best of your ability. Your participation is important to help us take precautionary measures to protect you and our Society.



    1. Do any of the following apply to you?

    • I am fully vaccinated against COVID-19 (it has been 14 days or more since your final dose of either a two-dose or a one-dose vaccine series)

    • I have tested positive for COVID-19 in the last 90 days (and since been cleared)

    _Personal health information is not collected when you complete this screening tool. The purpose of this question is to provide accurate isolation instructions which are based on vaccination status.

    2. Are you currently experiencing any of these symptoms?

    Fever and/or chillsCough or barking cough (croup)Shortness of breathDecrease or loss of taste or smellMuscle aches/joint painExtreme tirednessNone of the above

    3. Is anyone you live with currently experiencing any new COVID-19 symptoms (listed below) and/or waiting for test results after experiencing symptoms?

    • Children (17 years old or younger): fever and/or chills, cough or barking cough, shortness of breath, decrease or loss of taste or smell, nausea, vomiting and/or diarrhea

    • Adults (18 years old or older): fever and/or chills, cough or barking cough, shortness of breath, decrease or loss of taste or smell, tiredness, muscle aches

    _If the person got a COVID-19 vaccine in the last 48 hours and is experiencing mild fatigue, muscle aches, and/or joint pain that only began after vaccination, select “No.”


    4. In the last 14 days, have you traveled outside of Canada AND been advised to quarantine (as per the federal quarantine requirements)?


    5. Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?

    _This can be because of an outbreak or contact tracing.


    6. In the last 10 days, have you been identified as a “close contact” of someone who currently has COVID-19?

    _If public health has advised you that you do not need to self-isolate, select “No.”


    7. In the last 10 days, have you tested positive on a rapid antigen test or a home-based self-testing kit?

    _If you have since tested negative on a lab-based PCR test, select "No."


    8. In the last 10 days, have you received a COVID Alert exposure notification on your cell phone?

    _If you already went for a PCR test and got a negative result, select “No.”


    9. In the last 14 days, has someone in your household (someone you live with) travelled outside of Canada AND been advised to quarantine (as per the federal quarantine requirements)?


    10. In the last 10 days, has someone in your household (someone you live with) been identified as a ”close contact” of someone who currently has COVID-19 AND advised by a doctor, healthcare provider, or public health unit to self-isolate?


    11. Is anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms?

    _Children ( <18 years old): fever and/or chills; cough or barking cough; shortness of breath; decrease or loss of taste or smell; nausea, vomiting and/or diarrhea

    _Adults: ( ≥18 years old): fever and/or chills; cough or barking cough; shortness of breath; decrease or loss of taste or smell; tiredness; muscle aches.

    _If the individual experiencing symptoms received a COVID-19 vaccination in the last 48 hours and is only experiencing mild fatigue, muscle aches, and/or joint pain that only began after vaccination, select “No.”


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