COVID-19 Screening Questionnaires

Create an online COVID-19 screening questionnaire for free. Keep track of patient or visitor symptoms to reduce the spread of coronavirus. Switch from paper forms to online forms to save time and keep sensitive health information secure.

Templates

Free COVID-19 Screening Questionnaire Templates

Get a head start on building the perfect coronavirus screening questionnaire for your needs. Choose a readymade template and customize it to match your branding with Jotform’s intuitive drag-and-drop Form Builder. It just takes a few clicks!

Employee COVID-19 Self Screening Questionnaire

Template 201278287186059

Coronavirus Self Declaration Form

Template 200771556303046

Coronavirus Screening Form

Template 200775899033161

Benefits

Instantly Create COVID-19 Screening Questionnaires

Protect Data with HIPAA Compliance

Keep protected health information (PHI) safe and secure with HIPAA-compliant online screening questionnaires. Jotform offers a signed Business Associate Agreement (BAA) to Gold, and Enterprise users, as well as additional security, including CCPA compliance, GDPR compliance, form encryption, and more.

Easily Collect & Manage Responses

Paper forms are messy and time-consuming. By collecting your COVID-19 screening questionnaires online, you can streamline your workflow and let patients fill out forms from their own devices — perfect for reducing contact during the pandemic.

Schedule Patient Appointments

Add an appointment calendar to your questionnaire to schedule patient visits. You can customize your booking time slots and make them unavailable after they’re booked, helping you get rid of time-consuming phone calls and emails, and avoid double-bookings.

Testimonials

What our users say about Jotform

I use Jotform with a number of clients, but the two for whom it is most useful are a medical charity and a tennis coaching company. I like the flexibility Jotform offers for gathering registration information and managing workflows triggered by changing the status of membership applications. These help my clients streamline their admin processes and control their admin costs.

Iwona Batterberry, Consultant, Brainwaves Gravy

COVID-19 Screening Questionnaires

Learn how to switch from paper forms to online forms and gather your COVID-19 questionnaires safely from any device. Patients, employees, or visitors can even fill out your screening questionnaires from their own devices!

COVID-19 Screening Questionnaires
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