Covid-19 Self Screening

For Volunteer Drivers


MM slash DD slash YYYY

A. Do you have a new onset, or worsening, of any ONE of the following symptoms?





If "yes" to any one of the above, DO NOT DRIVE

B. Do you have a new onset, or worsening, of any TWO of the following symptoms?








If "yes" to any two of the above, DO NOT DRIVE

If you have only one symptom in section B and it has been less than 24 hours since it started, stay home and avoid contact with others. Re-evaluate after 24 hours, and use the online COVID-19 Screening Tool.

Exposure History





If "yes" to any of the above, DO NOT DRIVE. Take the online COVID-19 Screening Tool.

** Exemptions from self-isolation (quarantine) orders include some essential workers and those that are fully immunized, if they have no symptoms.

*** Exemptions are in place for asymptomatic household members if they are an essential worker required to wear medical grade PPE while at work, such as health care workers and first responders.

If the checklist advises you not to drive: stay home, isolate and refer to the online COVID-19 Screening Tool or call Health Links - Info Santé at 204-788-8200 or toll free at 1-888-315-9257 for further guidance.

Up to date information on COVID-19 can be found at www.manitoba.ca/covid19/index.html.