Questionnaire In the last 14 days...Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.Have you been advised to self-isolate at home? *YesNoHave you traveled outside of Canada recently? *YesNoHave you been in contact with someone who has tested positive or is suspected of having Covid-19? *YesNoDo you have a fever? Temperature greater or equal to 38 degrees *YesNoDo you have a cough? *YesNoDo you have symptoms of a cold? *YesNoDo you have new symptoms of difficulty breathing or shortness of breath? *YesNoName *PrénomNomEmail *Phone *WebsiteSubmit