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COVID-19 Screening

Notice of Collection: Use of Personal Information

Your personal information collected through this form will be used to assess and manage the risk of any individual attending Lambton College carrying Covid-19, and is part of our commitment to taking reasonable steps to protect the health and safety of employees, students and guests. It will not be disclosed for any other purpose. If you have any questions or concerns please contact the Registrar at

Health check questionnaire

  1. Do you have any of the following new or worsening symptoms or signs?
    New or worsening cough (continuous, more than usual)
    Shortness of breath (out of breath, unable to breathe deeply)
    Sore throat
    Runny nose, sneezing or nasal congestion (not related to seasonal allergies or other known causes or conditions)
    Hoarse voice
    Difficulty swallowing
    New smell or taste disorder(s)
    Nausea/vomiting, diarrhea, abdominal pain (not related to other known causes or conditions)
    Unexplained fatigue/malaise (lack of energy)
    Headache that's unusual or long lasting
  2. Have you travelled outside of Canada, or had close contact with anyone that has travelled outside of Canada in the past 14 days?
  3. Do you have a fever?
  4. Have you had close contact with anyone with respiratory illness or a confirmed or probable case of COVID-19?
  5. Did you wear the required and/or recommended PPE according to the type of duties you were performing (e.g. goggles, gloves, mask and gown or N95 with aerosol generating medical procedures (AGMPs)) when you had close contact with a suspected or confirmed case of COVID-19?