COVID-19 Screening Questionnaire

If you are are a Bespoke Audio Visual employee, independent contractor, or guest, please fill out this questionnaire prior to arriving at our offices or job sites. Learn more about how we are navigating our business and supporting our clients during COVID-19.

Please fill out this form the day-of, prior to your arrival.

Do you have any of the following

new or worsening symptoms or signs?

Symptoms should not be chronic or related to other known causes or conditions.

In the last 14 days:

If you answered YES to any of the above questions please go home & self-isolate immediately. You should contact your health care provider or call Telehealth Ontario at 1 (866) 797-0000 to speak to a registered nurse.
I declare that the above statements are true.