0
No products in the cart.
Cart
Total:
$
0.00
Home
Members
Giving Back
History
Last Alarm
Contact Us
Member Login
Home
Members
Giving Back
History
Last Alarm
Contact Us
Member Login
Vaughan PFFA Coronavirus Form
IAFF Coronavirus Information
Any prudent information updates will be posted here.
Please complete the questionnaire below.
Answer yes or no to the symptoms you’re experiencing.
Today's Date
*
DD dot MM dot YYYY
Time
*
00:00
01:00
02:00
03:00
04:00
05:00
06:00
07:00
08:00
09:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
24:00
What station do you work/worked with?
*
What platoon?
*
Fever with or without chills (99.9F / 37.7C)?
*
Yes
No
Uncontrollable secretions/excretions resulting in sneezing or blowing nose?
*
Yes
No
Prolonged sore throat greater than 72 hours?
*
Yes
No
Productive/uncontrolled cough?
*
Yes
No
Influenza or COVID-19 like illness fever and cough, shortness of breath?
*
Yes
No
Diarrhea associated with an acute illness?
*
Yes
No
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.