Child Care COVID-19 Pre-screening Tool for Attendees

Note: This tools is for Parents/Guardians and children only. If you are staff or a worker going to the child care program, please use the COVID Pre-screening Tool for workers. If you are a Private Home Child Care Provider, please use the COVID Pre-screening Tool for Providers.

Please complete all questions and submit your results. Once submitted, an email will be sent to the email address provided in the tool below. This email must be shown prior to entering the child care program. If you do not show the email, you will be asked to fill in the form again and show the email at that time. There will be NO EXCEPTIONS. Thank you for your co-operation.

Do you OR the child(ren) have any of the following symptoms:

  • 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
  • For young children and infants: sluggishness or lack of appetite

Any collection of personal information is made under the authority of the Ministry of Health Guidance Document: Policy and Procedures for Re-opening Childcare Centres in the District of Thunder Bay (June 11, 2020). Personal information is collected in compliance with the Municipal Freedom of Information and Protection of Privacy Act.

Personal information is collected for the purpose of complying with provincial orders related to the COVID-19 pandemic.  None of your personal information will be shared, rented, sold or otherwise released to any third party without your consent. 

Any questions about this collection should be directed to: Rosanne Marinaro.



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