Wellness check questionnaire

We have implemented the wellness checkpoint screening process at sites nationally to now include screening of all employees, contractors, donors, visitors and volunteers. This process is in place to protect the health and safety of our teams, donors and to maintain our essential operations. Please take a moment to review what you can expect when entering a Canadian Blood Services site, below.

 

 

Wellness Station (BC-ON-AB-SASK)

Do not enter this site if you answer YES to any of the following questions:

  • Have you travelled outside Canada in the last 14 days?
  • Do you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions.
    • fever or chills
    • difficulty breathing or shortness of breath, cough, sore throat, trouble swallowing
    • runny nose/stuffy nose or nasal congestion
    • decrease or loss of smell or taste
    • nausea, vomiting, diarrhea, abdominal pain
    • not feeling well, extreme tiredness, sore muscles
  • Have you been:
    • notified by any public health authorities that you may have been exposed to COVID-19 and are currently required to self-isolate?
    • notified by the COVID Alert App that you may have been exposed to COVID-19 in the last 14 days?
    • hospitalized with COVID-19 and has it been less than 21 days since your recovery?
  • Have you had COVID-19 and has it been less than 14 days since your recovery or less than 14 days since you received a positive test result?
  • Do you live with a person who has COVID-19 or who has recovered from COVID-19 less than 14 days ago or less than 14 days since they received a positive test result?
  • Are you:
    • awaiting test results because you were experiencing symptoms or because you are part of a contact tracing investigation due to contact with a person with COVID-19?
    • a health care worker or first responder with occupational exposure to someone with COVID-19 in the last 14 days and did not use the personal protective equipment required of your job?

If you answered YES, please consider booking an appointment in the future.

Wellness Station (MB)

Do not enter this site if you answer YES to any of the following questions:

  • In the last 14 days, have you travelled anywhere outside Manitoba, Yukon, Northwest Territories, Nunavut, British Columbia, Alberta, Saskatchewan, or Northwestern Ontario*?
  • Do you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions.
    • fever or chills
    • difficulty breathing or shortness of breath, cough, sore throat, trouble swallowing
    • runny nose/stuffy nose or nasal congestion
    • decrease or loss of smell or taste
    • nausea, vomiting, diarrhea, abdominal pain
    • not feeling well, extreme tiredness, sore muscles
  • Have you been:
    • notified by any public health authorities that you may have been exposed to COVID-19 and are currently required to self-isolate?
    • notified by the COVID Alert App that you may have been exposed to COVID-19 in the last 14 days?
    • hospitalized with COVID-19 and has it been less than 21 days since your recovery?
  • Have you had COVID-19 and has it been less than 14 days since your recovery or less than 14 days since you received a positive test result?
  • Do you live with a person who has COVID-19 or who has recovered from COVID-19 less than 14 days ago or less than 14 days since they received a positive test result?
  • Are you:
    • awaiting test results because you were experiencing symptoms or because you are part of a contact tracing investigation due to contact with a person with COVID-19?
    • a health care worker or first responder with occupational exposure to someone with COVID-19 in the last 14 days and did not use the personal protective equipment required of your job?

If you answered YES, please consider booking an appointment in the future.

 


 *Northwestern Ontario is defined as anything west of Terrace Bay, Ontario.

Image of West and East Terrace Bay Ontario map
Wellness Station (PEI)

Do not enter this site if you answer YES to any of the following questions:

  • Have you travelled outside Prince Edward Island in the last 14 days?
  • Do you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions.
    • fever or chills
    • difficulty breathing or shortness of breath, cough, sore throat, trouble swallowing
    • runny nose/stuffy nose or nasal congestion
    • decrease or loss of smell or taste
    • nausea, vomiting, diarrhea, abdominal pain
    • not feeling well, extreme tiredness, sore muscles
  • Have you been:
    • notified by any public health authorities that you may have been exposed to COVID-19 and are currently required to self-isolate?
    • notified by the COVID Alert App that you may have been exposed to COVID-19 in the last 14 days?
    • hospitalized with COVID-19 and has it been less than 21 days since your recovery?
  • Have you had COVID-19 and has it been less than 14 days since your recovery or less than 14 days since you received a positive test result?
  • Do you live with a person who has COVID-19 or who has recovered from COVID-19 less than 14 days ago or less than 14 days since they received a positive test result?
  • Are you:
    • awaiting test results because you were experiencing symptoms or because you are part of a contact tracing investigation due to contact with a person with COVID-19?
    • a health care worker or first responder with occupational exposure to someone with COVID-19 in the last 14 days and did not use the personal protective equipment required of your job?

If you answered YES, please consider booking an appointment in the future.

Wellness Station (NFLD)

Do not enter this site if you answer YES to any of the following questions:

  • Have you travelled outside Newfoundland and Labrador in the last 14 days?
  • Do you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions.
    • fever or chills
    • difficulty breathing or shortness of breath, cough, sore throat, trouble swallowing
    • runny nose/stuffy nose or nasal congestion
    • decrease or loss of smell or taste
    • nausea, vomiting, diarrhea, abdominal pain
    • not feeling well, extreme tiredness, sore muscles
  • Have you been:
    • notified by any public health authorities that you may have been exposed to COVID-19 and are currently required to self-isolate?
    • notified by the COVID Alert App that you may have been exposed to COVID-19 in the last 14 days?
    • hospitalized with COVID-19 and has it been less than 21 days since your recovery?
  • Have you had COVID-19 and has it been less than 14 days since your recovery or less than 14 days since you received a positive test result?
  • Do you live with a person who has COVID-19 or who has recovered from COVID-19 less than 14 days ago or less than 14 days since they received a positive test result?
  • Are you:
    • awaiting test results because you were experiencing symptoms or because you are part of a contact tracing investigation due to contact with a person with COVID-19?
    • a health care worker or first responder with occupational exposure to someone with COVID-19 in the last 14 days and did not use the personal protective equipment required of your job?

If you answered YES, please consider booking an appointment in the future.

Wellness Station (NB)

Do not enter this site if you answer YES to any of the following questions:

  • Have you travelled outside New Brunswick in the last 14 days?
  • Do you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions.
    • fever or chills
    • difficulty breathing or shortness of breath, cough, sore throat, trouble swallowing
    • runny nose/stuffy nose or nasal congestion
    • decrease or loss of smell or taste
    • nausea, vomiting, diarrhea, abdominal pain
    • not feeling well, extreme tiredness, sore muscles
  • Have you been:
    • notified by any public health authorities that you may have been exposed to COVID-19 and are currently required to self-isolate?
    • notified by the COVID Alert App that you may have been exposed to COVID-19 in the last 14 days?
    • hospitalized with COVID-19 and has it been less than 21 days since your recovery?
  • Have you had COVID-19 and has it been less than 14 days since your recovery or less than 14 days since you received a positive test result?
  • Do you live with a person who has COVID-19 or who has recovered from COVID-19 less than 14 days ago or less than 14 days since they received a positive test result?
  • Are you:
    • awaiting test results because you were experiencing symptoms or because you are part of a contact tracing investigation due to contact with a person with COVID-19?
    • a health care worker or first responder with occupational exposure to someone with COVID-19 in the last 14 days and did not use the personal protective equipment required of your job?

If you answered YES, please consider booking an appointment in the future.

Wellness Station (NS)

Do not enter this site if you answer YES to any of the following questions:

  • Have you travelled outside the following provinces in the last 14 days -Newfoundland and Labrador, Prince Edward Island, Nova Scotia or New Brunswick?
  • Do you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions.
    • fever or chills
    • difficulty breathing or shortness of breath, cough, sore throat, trouble swallowing
    • runny nose/stuffy nose or nasal congestion
    • decrease or loss of smell or taste
    • nausea, vomiting, diarrhea, abdominal pain
    • not feeling well, extreme tiredness, sore muscles
  • Have you been:
    • notified by any public health authorities that you may have been exposed to COVID-19 and are currently required to self-isolate?
    • notified by the COVID Alert App that you may have been exposed to COVID-19 in the last 14 days?
    • hospitalized with COVID-19 and has it been less than 21 days since your recovery?
  • Have you had COVID-19 and has it been less than 14 days since your recovery or less than 14 days since you received a positive test result?
  • Do you live with a person who has COVID-19 or who has recovered from COVID-19 less than 14 days ago or less than 14 days since they received a positive test result?
  • Are you:
    • awaiting test results because you were experiencing symptoms or because you are part of a contact tracing investigation due to contact with a person with COVID-19?
    • a health care worker or first responder with occupational exposure to someone with COVID-19 in the last 14 days and did not use the personal protective equipment required of your job?

If you answered YES, please consider booking an appointment in the future.