GPRC Fairview Campus Heart of the Peace

COVID-19 Prescreening


The following form must be completely filled out before accessing our facilities. After you submit the form, a QR code will be emailed to you, as proof that you have filled out the form. Upon entry to our facilities, the QR code will be scanned at the door and the staff member will be shown your name, when you filled out the form and an informational alert letting them know if you may access the facility or not. Your personal answers will NOT be shared with our staff.

Your email address may also be used to contact you in the future for contact tracing in case of an outbreak. However, it will not be used for any other purpose.



1) Symptomatic or sick individuals will not be permitted at Town of Fairview facilities. Do you have any cold or flu-like symptoms not related to a pre-existing condition?



3) Do you have a fever?



4) Do you have a cough or sore throat?



5) Do you have shortness of breath or difficulty breathing?



6) Do you have a runny nose or nasal congestion?



7) Are you feeling unwell or fatigued?



8) Are you experiencing any nausea, vomiting or diarrhea?



9) Are you experiencing unusual muscle aches?



10) Are you experiencing unusual headaches?



11) Do you have conjunctivitis (pink eye)?



12) Have you or anyone in your household travelled outside of Canada in the last 14 days?



13) Have you had close contact with anyone who has a cough or fever (close contact is defined as face to face contact within 2 meters for a total of 15 minutes in any 24 hour period or physical contact, without wearing appropriate PPE)?



14) In the last 14 days, have you or anyone in your household been in close contact with someone that is suspected or confirmed to be infected with COVID-19 (close contact is defined as face to face contact within 2 meters for a total of 15 minutes in any 24 hour period or physical contact, without wearing appropriate PPE)?



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