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Coronavirus COVID-19 Screening Questionnaire Name Phone number Employee ID# Leader name/phone numbering the last 14 days have you traveled outside your normal, daily routine? Date Job title/positionYESNODo
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How to fill out coronavirus covid-19 screening questionnaire

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How to fill out coronavirus covid-19 screening questionnaire

01
To fill out the coronavirus COVID-19 screening questionnaire, follow these steps:
02
Begin by accessing the questionnaire form either online or through a designated app.
03
Provide accurate personal information such as name, age, gender, and contact details.
04
Answer all the questions on the questionnaire honestly and to the best of your knowledge.
05
Include details about any relevant symptoms you may be experiencing, such as fever, cough, or difficulty breathing.
06
If you have recently traveled to a high-risk area or had close contact with someone diagnosed with COVID-19, make sure to mention it.
07
Follow any additional instructions provided for submitting the completed questionnaire, such as clicking a submit button or sending it via email.
08
Once submitted, await further instructions or guidance based on the results of the screening questionnaire.
09
If the questionnaire indicates a potential risk for COVID-19, follow the recommended actions provided, such as contacting a healthcare professional or getting tested.
10
Remember, the purpose of the screening questionnaire is to assess the likelihood of COVID-19 infection and guide appropriate action to protect yourself and others.

Who needs coronavirus covid-19 screening questionnaire?

01
Individuals who suspect they may have been exposed to COVID-19, have symptoms associated with COVID-19, or those required to go through screening for COVID-19 may need to fill out the coronavirus COVID-19 screening questionnaire.
02
This questionnaire helps in identifying individuals who may be at risk of COVID-19 infection and assists in directing them towards appropriate medical care or testing.
03
Additionally, organizations, institutions, or establishments, such as hospitals, workplaces, or transportation services, may require individuals to complete the screening questionnaire as a preventive measure to ensure the safety of employees, customers, or passengers.
04
It is essential to follow local guidelines and regulations regarding the need for the screening questionnaire in specific situations.

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