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YOUR CART
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Students Full Name
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Do you or anyone in your household currently have any of the following symptoms
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Fever
Runny Nose
Cough
Sore Throat
Vomiting or Diarrhea
Fatigue with no explaination
A general feeling of being unwell
None of the above
In the last 14 days have you been in contact with anyone who has tested positive for or is awaiting results for Covid 19 testing
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YES
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In the past 14 days have you or anyone in your household travelled outside of Canada or to the East Coast of Canada?
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YES
NO
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