HEALTH QUESTIONNAIRE

The purpose of this questionnaire is to conduct COVID-19 screening of all individuals attending a training class. Because your health has the potential to affect the health of other people in this class, as well as their families and others, it is essential you answer these questions honestly.

In the event someone in the class has been in close contact with someone probable or confirmed with COVID-19, your contact information is necessary so we can inform you that your health and safety may be at risk.  All medical information will be treated confidentially and only disclosed to others when required to meet our obligation to maintain a safe workplace.