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. 2020 Oct 1;29(3):222–228. doi: 10.1067/men.2003.109

Table 1.

Screening questions* for all patients and staff entering the hospital

Have you had any unprotected contact with a person with SARS in the last 10 days?
Have you been in a hospital closed due to SARS in the last 10 days?
Are you in quarantine or have you been contacted by Toronto Public Health and put on home isolation?
Have you been to China, Hong Kong, Vietnam, Singapore, or Taiwan in the last 10 days?
Are you experiencing any of the following?
• Myalgia (muscle aches)
• Malaise (severe fatigue or unwell)
• Severe headache (worse than usual)
• Cough (onset within 7 days)
• Shortness of breath (worse than what is normal for you?)
• Feeling feverish, or have you had a temperature in the last 24 hours?
Record temperature now.
Have you been a patient or a visitor in another hospital or long-term care facility in the last 10 days? If so where?
*All questions provided by the Ontario Ministry of Health and Long Term Care.