right_arrow_blueIntroducing User Segmentation — Deliver surveys and feedback forms with precise targeting using powerful User Segments. Learn more

Zonka Feedback gets smarter with AI: Build smarter surveys, unlock deeper insights ➝

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Enter primary contact's full name
Enter primary contact's email address
Choose a password (at least 6 characters, no spaces, case-sensitive)
  • Your account is being created in the
By proceeding, you agree to the Terms of Service and Privacy Policy.
Or, sign up with email

user-picsrating-star crowd-logo captera-logo Rated 4.8/5 stars

COVID-19 Screening Checklist for Employees, Visitors and Technicians

Run a safety assessment on Technicians with the COVID-19 Screening Checklist before they enter your office premises or any worksite.

  • Try 7 days for Free
  • Lightening fast setup

List of COVID-19 Screening Checklist Questions

The following questions are included in this COVID-19 Screening Checklist Template. 

  • Full name of the individual
  • Has the individual washed their hands or used antiseptic?
  • Has the individual washed their hands or used antiseptic?
  • Does the individual have any of the following symptoms? Check all that apply.
  • Is this person an employee?
  • Please check their temperature and enter the result.
  • Has the individual been in contact with someone that was infected, suspected, or diagnosed with COVID-19?

Create and send this COVID-19 Screening Checklist with Zonka Feedback

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