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
  • cough
  • difficulty breathing
  • muscle aches
  • fatigue (feeling tired)
  • headache
  • sore throat
  • runny nose
  • hoarse voice
  • difficulty swallowing
  • loss of sense of smell or taste
  • diarrhea
  • nausea or vomiting

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