COVID-19 Self-Assessment

Daily health check for office visitors

If you are ill or experiencing flu-like symptoms, please stay home and contact your health care professional for advice on whether you should be tested for COVID-19.

Download COVID-19 PDF

Keeping our people, visitors, and communities safe is our #1 concern. That’s why we’re asking all office visitors to assess your health before you come into the office.

Please submit a completed COVID-19 Questionnaire every time you intend to visit 72 Victoria Street South; we need to receive it before you arrive.

  1. Click the Download COVID-19 PDF button and save the form on your desktop for quick access.
  2. Open the file in Adobe Acrobat Reader.
  3. Insert check boxes and text in the appropriate fields using the Fill and Sign icon on the right.
  4. Click the Sign icon at the top and select Signature to create an electronic signature. Enter it in the Signature field.
  5. When you’re ready to submit the form, click the Close button.
  6. Click Share and email the form to

Other considerations:

  • Please bring a mask with you. Our building owners require individuals to wear masks in all common areas (hallways, elevators, washrooms, etc.).
  • Upon your arrival, please check in with our receptionist on the 4th floor.

Thank you and stay safe!