COVID-19 Pre-Screening Questionnaire (Est. 15 mins)

Do not wait until the day of your examination to complete the pre-screening form. If you complete the pre-screening questionnaire more than a week in advance, you will be asked to complete it again closer to your assessment date.

1Symptoms Part 1
2Symptoms Part 2
3Exposure
4Confirmation

Symptoms Part 1

Have you had any of the following new or worsening symptoms in the last 10 days? Symptoms should not be chronic or related to other known causes or conditions.
Not related to other known causes or conditions (e.g., asthma, reactive airway)
Not related to other known causes or conditions (e.g., asthma)
Not related to other known causes or conditions (e.g., nasal polyps, allergies, neurological disorders)