Newfoundland & Labrador
This questionnaire is intended for staff and physicians to assist with ensuring our safety in monitoring our own health, and potential risks for COVID-19.

Please answer the following questions before attending work each day/shift.

Please complete the form below and click the Continue button to register your self-assessment.

Please select your RHA/NLCHI.

Those who are infected with COVID-19 may have little to no symptoms. You may not know you have symptoms of COVID-19 because they are similar to a cold or flu.

Do you have any of the following new or worsening symptoms?

  • Fever greater than 38° Celsius (or signs of a fever such as chills, sweats, muscle aches and lightheadedness)
  • Cough
  • Sore throat or difficulty swallowing
  • Shortness of breath or difficulty breathing
  • Headache
  • Unusual fatigue or lack of energy
  • New onset of muscle aches
  • Unexplained loss of appetite
  • Vomiting or diarrhea for more than 24 hours
  • Runny nose or congested nose (not related to seasonal allergies or other known causes/conditions)
  • Acute loss of sense of smell or taste
A response is required

Based on current Public Health guidance, should you be isolating for any reason? Self-Isolation Assessment Tool

A response is required