COVID-19 Medical Questionnaire
About this free form template

COVID-19 Medical Questionnaire Template

We created this form template to help various public and private institutions survey their audiences and capture the symptoms of COVID-19 disease. Hit the button Use this template below to start editing your online form.

First of all, you might be looking to add your organization's logo to the form. Later, you might head over to the theme setting to change the colors or tweak fonts. Carefully theming your form will help to establish your credibility and build trust with the responders.

You might use a simple text field to collect the names and surnames. To collect emails, you might use a different Email question field. The multiple-choice field would be useful to collect information about the symptoms of COVID-19 and the responders' testing status.

Finally, you might use a specialized Signature field to collect formal signatures as a confirmation that all the provided information is correct.

Check out Paperform's COVID-19 hub for additional form templates and helpful resources.

Key Features

This template is designed to help you collect information efficiently and professionally. It includes carefully crafted questions and fields that gather all the essential details you need.

Why Use This Template

  • Save time: Start with a pre-built structure instead of creating from scratch
  • Professional design: Looks polished and trustworthy to respondents
  • Easy customization: Modify fields, colors, and branding to match your needs
  • Mobile-friendly: Works seamlessly on all devices

How to Use This Template

  1. Click "Use this template" to import it into your Paperform account
  2. Customize the questions and fields to match your specific requirements
  3. Adjust the design and branding to reflect your organization
  4. Share the form link or embed it on your website
  5. Start collecting responses and managing submissions

Customization Options

Paperform's visual editor makes it easy to:

  • Add or remove questions
  • Change colors, fonts, and images
  • Set up conditional logic to show/hide fields
  • Configure email notifications and integrations
  • Accept payments if needed

Get started today and create a professional form in minutes.

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danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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