Title Page
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Conducted on
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Prepared by
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Resident Name
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Resident Apartment Number
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Has resident completed a COVID PARQ and Disclaimer 24 hours before?
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Is the resident's temperature above 37c on temperature gun? (gun is lower than normal thermometer)
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Does the resident have any symptoms of COVID 19? (high temperature, persistent cough, fever, chills, shortness of breath, loss of smell or taste)
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Has the resident been in contact with anyone with confirmed or unconfirmed symptoms of COVID -19?
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If yes, have they completed self-isolation?