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COVID-19 QUESTIONNAIRE PROXY FORM CODE: COP VERSION: 1.0 06/10/2020ID NUMBER:0a) Date of Collection//Event: ___0b) Staff Constructions: This is a shortened version of the COVID-19 Questionnaire that
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The covid-19 questionnaire - proxy is a form used to collect information about an individual's potential exposure to covid-19 and their current health status when acting as a proxy for someone else.
Anyone who is acting as a proxy for another individual and is entering a public place or interacting with others in a professional capacity may be required to file the covid-19 questionnaire - proxy.
The covid-19 questionnaire - proxy can usually be filled out online or in person by providing information on recent travel history, contact with covid-19 positive individuals, and current health symptoms.
The purpose of the covid-19 questionnaire - proxy is to assess the risk of potential covid-19 exposure and to help prevent the spread of the virus by identifying individuals who may need to self-isolate or seek medical attention.
The covid-19 questionnaire - proxy typically requires information on recent travel history, contact with covid-19 positive individuals, current health symptoms, and any other relevant health information.
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