Pre-Session Screening - Fox and Gem Photography

Pre-Session Screeening Questionnaire

Please have everyone who is attending your session today go through the questionnaire. If anyone who is attending is not with you to fill in the survey, please share the link to this page with them, and have them fill it in as well.

Please only submit one questionnaire for your session if everyone attending lives in the same household.

Name Session is booked under *

Email address *

Your name *

Has anyone in your household returned from travel outside of Canada in the last 2 weeks? *

Has anyone in your household been told by AHS that they need to be self-isolate due to Covid-19 or contact with Covid-19? *

Is everyone in your household feeling well today? *

Has anyone in your household had any of the following symptoms in the last 2 weeks? *

Fever, Chills, Cough, Sore Throat, Congestion or a Runny Nose, Shortness of Breath, Difficulty Breathing, Fatigue, Headache, Joint or Muscle Aches, GI Symptoms (Nausea, Vomiting, Diarrhea, Loss of Appetitie), Sudden Loss of Smell/Taste, Eye Irritation. or Pneumonia?

Has anyone in your household been in contact with anyone who has been diagnosed with Covid-19 in the last 2 weeks *

Is anyone attending your session that does not live in your household? *

Yes

I verify that all members of my household have provided full and accurate answers to this questionnaire. *

Yes

Please provide the best way to contact you today if we need to reach you (email, phone, text, etc) *

Pre-Session Screeening Questionnaire

Please have everyone who is attending your session today go through the questionnaire. If anyone who is attending is not with you to fill in the survey, please share the link to this page with them, and have them fill it in as well.

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