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This questionnaire is designed to assess the COVID-19 exposure risks for patients visiting Grant Orthodontics. It includes questions related to symptoms, exposure history, and travel to ensure the safety of both patients and staff.
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How to fill out covid-19 screening questionnaire

01
Gather necessary information such as personal details (name, age, contact information).
02
Check for symptoms: fever, cough, difficulty breathing, loss of taste or smell, etc.
03
Consider recent travel history within the last 14 days.
04
Note if you've been in contact with a confirmed case of COVID-19.
05
Complete any additional questions regarding medical history or underlying conditions.
06
Review your answers before submitting to ensure accuracy.

Who needs covid-19 screening questionnaire?

01
Individuals showing symptoms of COVID-19.
02
People who have been in close contact with a confirmed COVID-19 case.
03
Travelers returning from high-risk areas.
04
Healthcare workers and essential service providers.
05
Anyone mandated by local health authorities or workplaces.
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A COVID-19 screening questionnaire is a set of questions designed to assess an individual's risk of being infected with COVID-19, evaluating symptoms, exposure history, and travel history.
Typically, individuals who are entering specific facilities, traveling, or participating in certain events may be required to complete a COVID-19 screening questionnaire, as mandated by health authorities or organizations.
To fill out a COVID-19 screening questionnaire, individuals should read each question carefully, provide accurate information regarding their health status, symptoms, exposure to confirmed cases, and travel history.
The purpose of the COVID-19 screening questionnaire is to identify individuals who may be at risk of having COVID-19, to ensure the safety of the public, and to guide appropriate health and safety measures.
Information that must be reported includes personal identification details, any COVID-19 symptoms experienced, recent exposure to confirmed cases, and travel history within specified timeframes.
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