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COVID-19 Screening Questionaire- Recreation

The purpose of this questionnaire is to take preventative measures to ensure the health and safety of all Municipality of Kincardine residents. Please fill out this form before entering the building. 

Symptoms for COVID-19 range from mild to severe. Some symptoms are similar to the flu and other common respiratory infections:

  • Fever and/or chills 

    Shortness of breath 

    Cough or barking cough (croup)

    Extreme iredness

    Muscle aches/joint pain 

    Decrease or loss of taste or smell

    Sore Throat

    Runny or Congested Nose

    Nausea, Vomiting and/ or diarrhea

Personal information is collected under the authority of the Municipal Act, for the purpose of creating a record to be used for contact tracing for people who enter Municipal facilities. Questions about the collection of the personal information may be addressed to the Clerk of the Municipality of Kincardine, 1475 Concession 5, R.R. 5, Kincardine, Ontario N2Z 2X6. Phone: 519-396-3468