Covid-19 Questionnaire

This questionnaire is required for all small business in Ontario. Please fill it out honestly before coming to your session. I regularly work with newborn babies and need to provide the safest environment for little ones with small immune systems.


If you answer YES to any one of the questions below, PLEASE DO NOT come for your session, contact me and we will reschedule, AND contact either your health care provider or Telehealth Ontario (1-866-797-0000) to get advice or an assessment, including if you need a COVID-19 test.

• fever and/or chills • cough or barking cough (croup) • shortness of breath • sore throat • difficulty swallowing • decrease or loss of smell or taste • runny or stuffy/congested nose • headache • nausea/vomiting, diarrhea • muscle aches • extreme tiredness • pink eye (for adults) • stomach pain (for adults) • falling down often (for older adults)

Health care provider can be a : doctor, public health, or health care professional.

Health care provider can be a : doctor, public health, or health care professional.

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