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COVID-19 Health Screening Web
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With Dynamic Workspace Theme
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"Health Screening Web Form"

Enhance Site Performance: Deploy This Multi-Use Form!
COVID-19 Health Screening Web Form Template

COVID-19 Health Screening Web is the essential tool for safeguarding your community's health. This comprehensive form ensures thorough health assessments, preventing the spread of COVID-19 by identifying at-risk individuals efficiently. Seamlessly integrate this form into your website to showcase your commitment to safety and compliance. The Dynamic Workspace theme enhances the user experience with its crisp design and vibrant green buttons, creating a visually appealing and easy-to-use form for all users.

Utilize COVID-19 Health Screening Web and Dynamic Workspace to streamline your health assessment process and demonstrate your dedication to public health. Customize the form fields to match your specific needs and make use of the bold design elements in the theme to create a standout form on your website. Start building your form today and take proactive steps towards a healthier environment for everyone.

Get Started Using This Form Template

COVID-19 Health Screening Web Features

Streamline Health Assessments
Streamline Health Assessments
Efficiently collect vital health information with our COVID-19 Screening Form.
Ensure Health Compliance
Ensure Health Compliance
Demonstrate due diligence in safeguarding health with our secure form.
Enhance User Experience
Enhance User Experience
User-friendly design for easy completion, accessible to all skill levels.
Showcase Commitment to Safety
Showcase Commitment to Safety
Proactively protect employees and customers with our essential tool.
Boost Productivity & Clarity
Boost Productivity & Clarity
Dynamic Workspace theme embodies modern work culture for efficient forms.
Encourage Confident Choices
Encourage Confident Choices
Solid green buttons and bold blue submit button for decisive actions.
COVID-19 Health Screening Web Form Template
Customizable Form Fields
You can add, remove or re-arrange form fields when using our form builder app.
title (html-block)
title
fullName* (text, input)
Full Name
email* (email)
Email Address
phoneNumber* (phone-number)
Phone Number
symptoms* (boolean, buttons)
Have you experienced any COVID-19 symptoms in the last 14 days?
contact* (boolean, buttons)
Have you been in close contact with a confirmed or probable COVID-19 case?
travel* (boolean, buttons)
Have you traveled internationally in the last 14 days?
additionalInfo (text, textarea)
Additional Information

Try Out the Form for Yourself!

Experience Ease and Flexibility Across Multiple Devices and Screens

The form below is using our "Dynamic Workspace" form theme. You can change the colors and the theme using the Wizara Form Builder app.