Project Pandemic: Weekly Survey

What new information have you uncovered? Share with your audiences by filling in the blanks below.

Enter an address or zoom in to drop a pin on the exact building from which you gathered the information.

If you’d like to update or edit an already submitted location, please select the location from the drop down below marked ‘reported facilities’ and complete the rest of the form. Updates are for new information, edits are for corrections.

My Records Only

Organization, facility or location name: *

Is this a health-care facility?*

Yes No

Date this information was recorded: *

Has the provincial government or facility declared the outbreak over?

Yes No

Are you reporting worker infections, patient/client infections, or both?*

Worker infections Patient or client infections Both - separate worker and client data Both - combined worker and client data

Do you have further information about those affected?

Yes No

How confident are you in the accuracy of this data?*

Extremely confident Somewhat confident Not confident at all

If you could not contact the facility, please indicate the reason:

Facility did not respond to attempts to contact Refused to comment Location shut down Other

Source:

More info about source:

Please enter any comments on the data above here.
Thank you!