COVID-19 Screening Form

Name

Date*

Email*

Do you currently have any cold/flu-like symptoms?*

Have you travelled outside of Canada in the past month?*

In the past 2 weeks, have you been in contact with someone who has COVID-19?*

In the last 2 weeks, have you had any COVID-19 screening or testing by a medical professional?*

IF you have answered "YES" to any of the questions above, DO NOT enter the office or shop. Please call 905-332-6660 to speak with a staff member.

Please Enter Your Contact Phone Number*

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Contact Us

Name

Address 1*

Address 2

Phone Number*

Email*

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Please make sure you have a facemask on or you will not be allowed entry.

Project meetings are by Appointment only.

1795 Ironstone Drive, Burlington, Ontario L7L 5P7, Canada