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Coronavirus Screening Questionnaire Name: MID (if applicable): Date/Time: Address: Phone #: Risk Assessment: Initial screening questions are to be completed the day prior to appointment and reviewed
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How to fill out coronavirus screening questionnaire
How to fill out coronavirus screening questionnaire
01
To fill out the coronavirus screening questionnaire, follow these steps:
02
Start by gathering all the necessary information like your personal details, recent travel history, and any symptoms you may be experiencing.
03
Access the questionnaire through a trusted source such as a healthcare provider's website or official government website.
04
Read and understand each question carefully before providing your response.
05
Answer each question accurately and truthfully. Provide details wherever necessary.
06
If you are unsure about any question or need assistance, consult a healthcare professional or call a helpline number mentioned in the questionnaire.
07
Once you have completed all the questions, review your answers to ensure they are correct.
08
Submit the questionnaire through the designated method mentioned on the website or application.
09
Await further instructions or recommendations based on your responses.
10
Remember, filling out the questionnaire is an important step in identifying potential cases of coronavirus and stopping the spread of the virus. Take it seriously and do your part.
Who needs coronavirus screening questionnaire?
01
The coronavirus screening questionnaire is recommended for anyone who:
02
- Has recently traveled to an area with known cases of COVID-19
03
- Has been in close contact with someone who has tested positive for the virus
04
- Is experiencing symptoms such as fever, cough, difficulty breathing, sore throat, etc.
05
- Believes they may have been exposed to the virus through other means
06
- Wants to assess their risk and take necessary precautions
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What is coronavirus screening questionnaire?
It is a set of questions designed to assess an individual's risk of having been exposed to or infected with the coronavirus.
Who is required to file coronavirus screening questionnaire?
Anyone who has been in close contact with someone who has tested positive for the coronavirus, or anyone who is showing symptoms of the virus.
How to fill out coronavirus screening questionnaire?
The questionnaire can typically be filled out online or on paper, and will ask about recent travel, symptoms, and exposure to known cases.
What is the purpose of coronavirus screening questionnaire?
The purpose is to identify individuals who may need testing or isolation to prevent the spread of the virus.
What information must be reported on coronavirus screening questionnaire?
Information such as recent travel history, symptoms, and contact with known cases of the coronavirus.
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