Daily COVID-19 Check
Your Safety comes First
If you respond yes to any of the questions below, please call 811 and inquire how to proceed. NOTE: Please do not come to the dealership until advised from 811 it is safe to do so.
COVID-19 Check
Are you experiencing any of the following:
- Severe difficulty breathing (e.g. struggling to breathe or speaking in single words)
- Severe chest pain
- Having a very hard time waking up
- Feeling confused
- Losing consciousness
Yes Or No
Are you experiencing any of the following:
- Mild to moderate shortness of breath
- Severe chest pain
- Inability to lie down because of difficulty breathing
- Chronic health conditions that you are having difficulty managing because of difficulty breathing
Yes Or No
Check off all of the symptoms you are experiencing right now:*
If you are not experiencing any symptoms "None of the above."
- Cough
- Difficulty breathing
- Sore throat
- Loss of sense of smell or taste
- Headache
- Extreme fatigue or tiredness
- Diarrhea
- Loss of appetite
- Nausea or vomiting
- Body aches
Yes Or No
Have you received a new COVID-19 test result? (Optional)
If you have not entered it here before, please enter the details of your last COVID-19 test.
Yes Or No
Have you returned to Canada from any country (including the United States) within the last 14 days?
Yes Or No
Did you or someone in your household have close contact with a person with confirmed COVID-19? A close contact is someone confirmed to have COVID-19 who you live with or otherwise had close face to face contact (within 2 metres) while they had symptoms or in the 48 hours before their symptoms started.
Yes Or No
If you responded yes to any of these questions please call 811 and inquire how to proceed. NOTE: Please do not come to the dealership until advised from 811 it is safe to do so.
Please complete the form below as a written health check declaration before entering Prince George Ford. This declaration is required each time you visit Prince George Ford.