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COVID-19 Self-Screening Form
This template is a pre-check form for self-assessing health status and infection risk related to COVID-19. It is designed to easily check recent overseas travel history, contact with confirmed cases, and the presence of suspected symptoms. It can be conveniently used in situations requiring preventive health management, such as before entering schools, workplaces, and event venues, and can be utilized to record respondents' movements or take proactive measures according to health guidelines.
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Design a form to perfectly match your brand and purpose.
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and keep working in your familiar workflow.
Design a form for you.
Design a form to perfectly match
your brand and purpose.
Integrate with everything.
Connect Walla with the tools you already use—like Google Sheets, Gmail,
and Notion— and keep working in your familiar workflow.
COVID-19 Self-Screening Form
,
Why wouldn't you try?
Why should I use the COVID-19 self-screening form template?
It is used to check the necessary information in advance to prevent infectious diseases and the spread within the facility. With just a simple check, it is possible to identify infection risk factors in advance and respond appropriately, playing an important role in ensuring the safety of all members.
How is the COVID-19 self-screening form template structured?
It consists of key questions recommended by the health authorities, including recent overseas travel history, whether cohabitants have traveled abroad, contact with confirmed cases, and the presence of any suspected symptoms. All questions are designed in a simple yes/no format for easy responses.
Can it be modified to fit our organization or event?
Yes. The composition of the questions, the expression of the phrases, the submission targets, and the response verification methods can be freely modified according to the situation. You can also customize them by including company names, school names, information messages, submission deadlines, etc. After collecting the results, automatic classification and notification settings are also possible, making management more convenient.
COVID-19 Self-Screening Form
,
Why wouldn't you try?
Why should I use the COVID-19 self-screening form template?
It is used to check the necessary information in advance to prevent infectious diseases and the spread within the facility. With just a simple check, it is possible to identify infection risk factors in advance and respond appropriately, playing an important role in ensuring the safety of all members.
How is the COVID-19 self-screening form template structured?
It consists of key questions recommended by the health authorities, including recent overseas travel history, whether cohabitants have traveled abroad, contact with confirmed cases, and the presence of any suspected symptoms. All questions are designed in a simple yes/no format for easy responses.
Can it be modified to fit our organization or event?
Yes. The composition of the questions, the expression of the phrases, the submission targets, and the response verification methods can be freely modified according to the situation. You can also customize them by including company names, school names, information messages, submission deadlines, etc. After collecting the results, automatic classification and notification settings are also possible, making management more convenient.
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The form you've been searching for?
Walla, Obviously.
Paprika Data Lab Inc.
557, Yeoksam-ro, Gangnam-gu, Seoul
Services
The form you've been searching for?
Walla, Obviously.
Paprika Data Lab Inc.
557, Yeoksam-ro, Gangnam-gu, Seoul
Services
