Coronavirus Response Forms

With the COVID-19 pandemic getting more and more serious every day, it’s important to support those who’ve been hit the hardest. JotForm’s free online Coronavirus Response Forms help healthcare organizations, nonprofits, and government agencies collect the information they need — without the need for back and forth phone calls, emails, or exposing more people to the coronavirus. So whether you’re collecting patient self-assessments, processing event ticket refunds, or monitoring your workplace’s safety practices, these readymade templates are designed to make it easier for you and your organization to collect and process information remotely.

If you need to change the look or design of your chosen Coronavirus Response Form template, use our drag-and-drop Form Builder to make necessary changes in seconds. You can even sync submissions directly to your other accounts or collect donations online with our 100+ free form integrations. And since you’re helping your community during this difficult time, we’d like to help you as well — which is why we’ve introduced a free, unlimited, optionally HIPAA-compliant Coronavirus Responder Program that allows those on the front lines of the crisis to collect data without any form submission, storage, or payment limits.

And since you’re helping your community during this difficult time, we’d like to help you as well — which is why we’ve introduced a free, unlimited, HIPAA-compliant Coronavirus Responder Program that allows those on the front lines of the crisis to collect data without any form submission, storage, or payment limits.

Formulario de Autodeclaración de Coronavirus

Vista Previa

Cuestionario acerca de los signos Coronavirus para autodeclaración.

Coronavirus Response Forms

Quarantine Survey in Spanish

Vista Previa

A survey form regarding the quarantine period

Coronavirus Response Forms

Disclaimer

Nada en este sitio tiene por objeto establecer una relación médico-paciente, sustituir los servicios de un médico o un profesional de salud capacitado, o ser un sustituto del asesoramiento, el diagnóstico o el tratamiento médico profesional.