COVID Health Questionnaire – Staff and Lawyers

COVID-19 DAILY HEALTH QUESTIONNAIRE

At OWGM, we are committed to the health and safety of our lawyers and staff.  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 the firm’s COVID-19 safety plan can be found here.

 

**This form needs to be completed and submitted daily prior to attending the office.**

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.