Symptoms Self-Reporting Webform

If you are experiencing flu-like symptoms or have travelled outside of Canada in the past 14-days, please fill out this form to the best of your ability. We will reach out to students regarding next steps. 

Please indicate the area of residence you live and your suite number. EX: OP102A
Self-Report Symptoms
Please answer all questions that apply to your symptoms
Please select all that apply. If you select "fever", please complete the temperature questions.
International Travel
Have you travelled outside of Canada in the past 14 days?
Extension Request
Roommates or Suite Mates
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.