Your information

*Consulted professional

*Questionnaire

1. Do you have ONE of these symptoms?

  • Fever (oral temperature equal to or greater than 38,1°C (100,6°F) for people over 6 years old and 38,5°C (101,3°F) for kids between 6 months and 5 years old)
  • Cough (recent or chronic that has recently gotten worse)
  • Sore throat
  • Shortness of breath
  • Difficulty breathing
  • Sudden loss of smell with no nasal congestion, with or without loss of taste.

2. Do you have TWO of these symptoms?

  • Runny nose or nasal congestion for no known reason
  • Headache
  • Profond fatigue
  • Muscle ache (not related to physical exertion)
  • Significant loss of appetite
  • Nausea or vomiting
  • Stomach ache
  • Diarrhea

3. Have you received a positive result to a Covid-19 test in the last 5 days?

4. Were you instructed to self-isolate for 5 days after being in contact with a Covid positive case (because you are not vaccinated. See quebec.ca/isolement)?

5. Were you instructed to self-isolate for 14 days because you travelled recently and you are not vaccinated?

6. Is the date of your next appointment between the 5th and the 10th day following the beginning of your symptoms or your positive Covid-19 test result?

If you answered YES to question 6, please answer questions 7 and 8.

7. Have you had fever or have you taken fever medication in the last 24 hours?

8. Have your symptoms worsened in the last few days?

Explanation of symptoms

Fever: An intermittent fever, namely one that comes and goes, meets this criterion. A one-time temperature measurement taken by mouth equal to or greater than 38.1°C also meets this criterion.

Cough: Some people, such as long-time smokers, can have a chronic cough. A usual cough does not meet this criterion, but a change in cough (e.g., increase in cough frequency or the appearance of sputum) meets this criterion.

Difficulty breathing: Some people, such as asthmatics, can have reasons related to their condition and not related to COVID-19 that explain their difficulty breathing. Any sudden difficulty breathing other than for obvious reasons meets this criterion.

Sudden loss of sense of smell or taste: A loss of sense of smell without nasal congestion, with or without a loss of sense of taste, meets this criterion, whether isolated or combined with other symptoms.