COVID-19 VISITOR SCREENING Employees and guests of Demand Power Group Inc. Please complete this COVID-19 visitor screening prior to entry. Entry to our premises will be granted thereafter. Please enable JavaScript in your browser to complete this form.Your Name *Your Email *NextWhich Demand Power location are you checking into?Main OfficeOtherIf Other, Name of locationNextAre you currently experiencing any of these symptoms? *Fever and/or chillsCough or barking cough (croup)Shortness of breathDecrease or loss of taste or smellSore throat or difficulty swallowingRunny or stuffy/congested noseHeadacheDigestive issues like nausea/vomiting, diarrhoea, stomach painExtreme tiredness or muscle achesNone of the aboveChoose any/all that are new, worsening, and not related to other known causes or conditions you already have.PreviousNextIs anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms? *NoYesPreviousNextIn the last 14 days, have you travelled outside of Canada? *NoYesIf exempt from federal quarantine requirements (for example, you are fully vaccinated and have met the specific conditions or an essential worker who crosses the Canada-US border regularly for work), select “No.”PreviousNextIn the last 14 days, have you been identified as a “close contact” of someone who currently has COVID-19? *NoYesPreviousNextHas a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)? *NoYesThis can be because of an outbreak or contact tracing. PreviousNextIn the last 14 days, have you received a COVID Alert exposure notification on your cell phone? *NoYesIf you already went for a test and got a negative result, select “No.”Submit