Covid-19 Staff Screening Covid-19 Questionnaire Department * Accounting Department Head Engineering Food & Beverage (Boathouse) Guest Services & Reservations Golf Course Greens Housekeeping Human Resources Recreation Property Relations Security Contractor Accounting Employee - Name Jody Weller Department Head Employee - Name Alan Morgan Bari McFarland Brad Thompson Brandon Zdenek Heli Patel Jeremy Rivet Kelly Douglas Lori Reynolds Nate Clingersmith Nigel Hollidge Owen Ledwith Ryan Chatwin Shar Harbridge Smit Patel Lanny MacLeod Department Head Employee - Name Engineering Employee - Name Andre Smith JF Lemieux Matt Little Food & Beverage (Boathouse) Employee - Name Arnel Osma Alexis Rock Brianna Halvorsen Cathy Tanner Courtney Stickel Deborah Parsons Dennis Rivet Gillian Sanders John Perrault Patrick Harriott Stewart Wayne Turner Aiden Clugston Parker DeAbreu Jillian Castellan Conrad Brown Desseray Stock Emilli Desjardins Shelly Sullivan Anwar Asharaf Guest Services / Reservations Employee - Name Kyle Tangredi Jen Grant Leonard Baptiste Robyn Hardy Shannon Louth Ngar Chun Lam Drifa Tadjine Kerlyn Jouavel Marianne Read Meg Parish Golf Course Employee - Name Leslie Klett Courtney Stickel Dan Dominico Steve Sharko Mark Turney Glen Smith Peter Gilbert Grace Gilbert Brooklynne McConnell Samantha Hannan Lily Tureski Jessie Beaugrand Sarah Sneyd Greens Employee - Name Al Chudnovsky Alex Bonfoco Alexander Turchan Dan Brown Dave Coulter Doug Verpaelst Evan Senior Jackson Stuart Jake Greenfield John Gobel Kyle Beaudette Michael Richardson Richard Gobel Rick Jackson Ryan Sanga Scott Clayworth Trevor Reeson Stanton McKinnon Jackson Stuart Housekeeping Employee - Name Arshpreet Bhangu Danielle Beaverstock Ella Chatten Julia Beaverstock Julie Fleger Kaisei Evans Karen McCracken Oshauna Watson Scarlett Zerback Celeste Courtemanche Evangeline Greavette Rachel Ingram Donnovan Linton Anna Tretheway Amy Dinuzzo Krista Stead Willow Mackenzie Abigail Burke Rebecca Greenfield Jess Catleugh Human Resources Employee - Name Sheri Jackson Property Relations Teena Mason Recreation Employee - Name Kayla Sibbald Sophie Pratt Tyler Gidwani Dylan Kearns Taylor Magill Alexandria Brodie Security Employee - Name Dan Cirimele Brian Docherty Robert Link Contractor Employee - Name UL - Richard Gobel UL - Tyler Gobel UL - Larry Bell UL - John Gobel UL - Ava Phillips UL - Austin McClenaghan UL - Garryn Real JR - Alberto Perez JR - Alejandro Ponce JR - Diana Ruiz JR - Francisco Pinto JR - Martin Rosete JR - Marcel Ramos JR - Marcos Sandoval JR - Miguel Hernandez JR - Oleksii Koval JR - Raul Hernandez JR - Steven Ramos Do you have any of the following symptoms or signs (not related to recently administered Covid Vaccine)? Severe difficulty breathing (struggling for each breath, can only speak in single words) Severe chest pain (constant tightness or crushing sensation) Feeling confused or unsure of where you are Losing consciousness Fever (feeling hot to the touch, a temperature of 37.8 degrees Celsius or higher) Chills Cough that's new or worsening (continuous, more than usual) Barking cough, making a whistling noise when breathing (croup) Shortness of breath (out of breath, unable to breathe deeply) Sore throat Difficulty swallowing Runny nose (not related to seasonal allergies or other known causes or conditions) Stuffy or congested nose (not related to seasonal allergies or other known causes or conditions) Lost sense of taste or smell Pink eye (conjunctivitis) Headache that's unusual or long lasting Digestive issues (nausea/vomiting, diarrhea, stomach pain) Muscle Aches Extreme tiredness that is unusual (fatigue, lack of energy) Falling down often In the last 5 days, have you been in close physical contact with someone who tested positive for COVID-19? Close phyiscal contact means: being less than 2 meters away in the same room, workspace, or area for over 15 minutes living in the same home In the last 5 days, have you been in close physical contact with a person who either: is currently sick with a new cough, fever or difficulty breathing? returned from outside of Canada in the last 2 weeks and has been advised to quarantine per the federal quarantine requirements? In the last 10 days, have you travelled outside of Canada AND been advised to quarantine per the federal quarantine requirements? Answer - If the answer is yes to any of the above questions, indicate yes below. * Yes No Please explain below and immediately contact your manager. If you are human, leave this field blank. Submit