Northerns Health & Wellness Check

Enter your temperature reading:

Do you have a persistent cough?

Have you been experiencing shortness of breath?

Do you have a sore throat or pain when swallowing?

Do you currently have red eyes?

Have you had a recent loss of taste?

Have you had a recent loss of smell?

Are you currently experiencing nausea?

Have you recently been vomiting?

Do you currently have diarrhea?

Do you currently have any flu-like symptoms?

Are you experiencing body pains?

Have you recently visited a foreign country?

Have you recently visited a doctor or hospital for possible Covid-19 symptoms?

Have you been in contact with any person infected with COVID-19 in the last 14 days?

Have you signed and submitted the Northerns Indemnity form?

I confirm that the information above is true and accurate