COVID-19 Self Assessment Have you (or anyone in your household) travelled outside Canada in the 14-day period prior to your test day?* Yes No Have local health authorities directed you (or anyone in your household) to stay in quarantine? Yes No Have you been in contact with anyone who has Covid-19 in the past 14 days? Yes No Do you have a fever, persistent cough, difficulty breathing, or other flu-like symptoms? Yes No Had you have a COVID vaccine in the last 28 days? Yes No Name* First Last Email* PhoneI certified that the answers I had provided are truthful Yes CAPTCHAYou need to re-book your appontment. Please do so clicking here or by calling 780-465-5150 THANK YOU FOR UNDERSTANDING!