PTC Guest Health Assessment Form

Section 1: Guest Information
Section 2: Symptom Reporting

The questions below should be answered by individuals who are taking part in activities at WinSport facilities. Legal Guardians may assist individuals who are not able to fill in the questionnaire on their own.

If you answer "yes" to any of the questions below you must immediately isolate to your vehicle if one is available. If this is not possible, you must isolate outdoors away from all other persons, activities, and infrastructure.

2.1 Does the attendee currently have any of the following symptoms:

  • Fever (temp 38.0°C or above)
  • Cough
  • Shortness of breath / Difficulty breathing
  • Sore throat
  • Chills
  • Painful swallowing
  • Runny nose / Nasal congestion
  • Feeling unwell / Fatigued
  • Nausea / Vomiting / Diarrhea
  • Unexplained loss of appetite
  • Loss of sense of taste or smell
  • Muscle / Joint aches
  • Headache
  • Conjunctivitis (pink eye)
2.1 Answer
Section 3: Exposure Reporting

If the attendee answers "yes" to any of the questions below, they cannot enter the facility or participate in activities. Go home and use the AHS Online Assessment Tool to determine if testing is recommended.

3.1 Has the attendee, or someone who is currently living or staying in their home, travelled outside of Canada in the last 14 days?
3.2 Has the attendee had “close contact” (face-to-face contact within 2 meters or direct physical contact such as hugging) in the last 14 days with a person who has a confirmed case of COVID-19?
3.3 Has the attendee had close contact (face-to-face within 2 meters or direct physical contact such as hugging) with a person who is currently scheduled for a COVID-19 test or who is waiting for the results of a COVID-19 test?
3.4 Is the attendee currently waiting for a scheduled COVID-19 test or the results of a COVID-19 test?
3.5 Has the attendee been directed by AHS or their school to self-isolate or quarantine for a period of time that has not yet expired?

*A health care worker in an occupational setting wearing the recommended PPE is not considered a “close contact”
**"ill" means someone with symptoms on the list above