Use the contactless health-screening survey template for airlines to know if the passengers are healthy and safe to travel. Know if they are free from COVID-19 symptoms and take actions early to secure your staff's and co-passengers' health.
This free contactless health-screening questionnaire is a ready-to-use resource and can be customized as per your requirements. Let your staff and passengers know if they are fit enough before they board the flight. Collect their contact details and travel history to ensure timely action.
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Contact Information (source country) Contact Information (destination country) Select your date of stay from: Select your date of stay till: Have you, or anyone you have been in contact with, had a positive test or presumptive test for Covid-19 in the last 14 days? Have you had any signs or symptoms of a fever in the past 24 hours such as chills, sweats, or had a temperature that is elevated for you/100.0f or greater? This excludes any symptoms from any pre-existing condition. Are you experiencing any of the following symptoms? This excludes any symptoms from any pre-existing condition. Please check all that apply. Do you have valid health insurance in the country travelling to? Are you ready to wear a mask within the flight? Have you traveled to any other country besides your port of origin over the last 14 days?' Please select the country. Please select the number of days you have stayed in the country. |
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Creating a survey with QuestionPro is optimized for use on larger screens -
Though you're welcome to continue on your mobile screen, we'd suggest a desktop or notebook experience for optimal results.
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