COVID Health Questionnaire – Guests & Clients

COVID-19 CLIENT/GUEST HEALTH QUESTIONNAIRE

At Oyen Wiggs, we are committed to the health and safety of our staff, lawyers, clients and guests. The purpose of the questionnaire is to verify that you are free (to the best of your knowledge) of COVID-19 symptoms as well as other related restrictions in accordance with BC Public Health Recommendations.

More information about Oyen Wiggs’ COVID-19 safety plan can be found here.

**This questionnaire needs to be completed and submitted before entering Oyen Wiggs offices.**

Name*
Self-Declaration: I am fully vaccinated against COVID-19 (it has been 14 days or more since receiving the third dose (booster) or the two-dose series as approved by Health Canada).*
Do you or anyone you have been in contact with currently have, or have experienced in the past 14 days, ANY of the following symptoms? For purposes of this questionnaire, "close contact" includes living with, providing care to, or otherwise having close prolonged contact (within 2 meters) with another person.*
This field is for validation purposes and should be left unchanged.