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COVID-19 SCREENING QUESTIONNAIRE and INFORMED CONSENT (Rev. 7×14/21) For your safety, the safety of your fellow patients, and the safety of our staff, it is necessary that you complete this questionnaire.
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How to fill out covid-19 screening questionnaire and

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How to fill out covid-19 screening questionnaire and

01
To fill out the Covid-19 screening questionnaire, follow these steps:
02
Start by visiting the official website or app that provides the questionnaire.
03
Provide your personal information such as name, age, and contact details.
04
Answer the questions honestly and accurately. These questions may include symptoms you're experiencing, recent travel history, and close contact with individuals diagnosed with Covid-19.
05
Submit the completed questionnaire.
06
Await the results or further instructions from the healthcare authorities.

Who needs covid-19 screening questionnaire and?

01
Individuals who suspect they may have been exposed to Covid-19 or are experiencing symptoms associated with the virus should fill out the Covid-19 screening questionnaire. This includes people with symptoms like fever, cough, shortness of breath, loss of taste or smell, fatigue, body aches, sore throat, and diarrhea.
02
Additionally, anyone who has recently traveled to a high-risk area or have had close contact with someone diagnosed with Covid-19 should also complete the questionnaire.
03
It is important for everyone to take part in assessing their risk and preventing the spread of the virus by filling out the screening questionnaire when necessary.
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The COVID-19 screening questionnaire is a tool used to assess an individual's potential exposure to the virus and to identify any symptoms that may indicate an infection.
Individuals who are entering certain facilities, traveling to specific destinations, or participating in specific events may be required to file a COVID-19 screening questionnaire.
To fill out the COVID-19 screening questionnaire, individuals typically need to provide personal information, answer questions about symptoms, exposure history, and travel history.
The purpose of the COVID-19 screening questionnaire is to help identify individuals who may need further evaluation or testing for COVID-19 in order to prevent the spread of the virus.
The information that must be reported typically includes personal identification details, symptoms related to COVID-19, recent travel history, and contact with confirmed cases.
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