Les Couvre-Planchers Orléans Inc.
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Have you had any symptoms of COVID-19 (cough, fever, shortness of breath, change in taste or smell) in the past 14 days? *
Have you been exposed to a person infected with COVID-19 in the past 14 days? *
Are you waiting for a test result for COVID-19? *
Have you traveled outside the country in the last 14 days? *
Have you tested positive for COVID-19 in the last 14 days? *
Have you had a voluntary isolation order issued by a public health authority within the last 14 days? *
Does anyone in your household have one or more symptoms of COVID-19 (cough, fever, shortness of breath, change in taste or smell) and/or is waiting for test results after experiencing symptoms? *
In the past 10 days, have you tested positive on a rapid home test? *
Do you live with a confirmed COVID-19 positive case? *
Do you live with a suspected case or a person in isolation following close contact with a variant case? *
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