Illness Self-Screening Questionnaire

In order to keep everyone safe at LHSC, please review the following prior to your visit:

Do you have any of the following symptoms

  • Fever or chills
  • New or worsening cough
  • Shortness of breath
  • Nausea, vomiting, diarrhea

Are you feeling generally unwell?

Have you recently been in contact with a sick person?

If you answered NO to all of the questions, please proceed.

If you answered YES to any of the questions above:


  • Clean your hands and wear a mask. Proceed directly to your destination and inform reception and your care provider immediately.


  • Please come back another time to visit when you are feeling well.