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COVID-19 Health Screening Web
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With Sleek Compliance Theme
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"Health Screening Web Form"

Master Online Engagement with Wizara’s Form Solutions
COVID-19 Health Screening Web Form Template

When you need to ensure the safety of your community, the COVID-19 Health Screening Web Form is the perfect solution. This comprehensive form allows for a thorough health assessment, helping to prevent the spread of COVID-19 by collecting vital information efficiently. By integrating this form into your website, you showcase your commitment to public health and safety, making it a critical tool for healthcare facilities, educational institutions, corporate offices, and event organizers.

Adding the Sleek Compliance theme to your COVID-19 Health Screening Web form will elevate its visual appeal and professionalism. With a vibrant yellow and blue color scheme, outlined submit button, and full-width design, this theme offers a sleek and structured form experience. The precision in layout ensures a smooth user journey, while the mobile-friendly design enhances accessibility. Ready to take a proactive step towards a healthier environment? Start building your form with COVID-19 Health Screening Web and Sleek Compliance today!

Get Started Using This Form Template

COVID-19 Health Screening Web Features

Streamline Health Assessments
Streamline Health Assessments
Efficiently collect crucial health information with our COVID-19 Screening Form template.
Ensure Compliance & Safety
Ensure Compliance & Safety
Safeguard your workplace with this healthcare-compliant form for COVID-19 health screenings.
Professional & Mobile-Friendly
Professional & Mobile-Friendly
Elevate your online presence with the sleek compliance theme for a polished user experience.
Stand Out Submit Button
Stand Out Submit Button
Capture attention and drive action with the outlined submit button in our theme design.
User-Friendly Full Width Form
User-Friendly Full Width Form
Enhance user experience with a full-width form layout for easy information entry and submission.
Accessible & Secure
Accessible & Secure
Protect personal health data while showcasing your commitment to public health and safety.
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 "Sleek Compliance" form theme. You can change the colors and the theme using the Wizara Form Builder app.