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Sample COVID 19 Health Screening Questionnaire

In order to keep workplaces safe and healthy in the Covid-19 pandemic, it is important to track possible Covid outbreaks in this office. This easy to use Covid-19 Screening form can make that process incredibly efficient. Have your employees fill out this form to confirm whether or not they are safe to come in the office, so you can prevent a possible outbreak. With conditional logic, the form can automatically notify the employee not to come to the office if they respond to any questions that notate they might have been exposed to or be afflicted with the virus.


Fully Mobile: Array’s forms are optimized for use on any device. Complete the form on your computer or use any iOS or Android mobile device.

Offline Capable: No internet connection? No problem. Array’s forms can be completed entirely offline. Once connection is resumed, they will automatically upload into the secure cloud server.

Conditional Logic: Utilize conditional logic to make certain fields visible only if relevant based on previous input or go more in depth and to create even more robust form automation workflows.

Document Generation: Automatically convert form data into fully finalized PDF documents – have your final report completed in minutes.

Date Capture: Collect valuable date and time information by choosing from three pre-programed fields, either date, time, or a combined date and time field to collect all of the information you require.

Secure E-Signature: Securely sign the mobile form on your tablet or cell phone with an accurate date and time stamp. Integrate with HelloSign for even more secure e-signature capture.

To learn how Array can assist in your commercial cleaning needs, click here.


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