Ensuring the health and safety of individuals, especially during global health crises, has never been more crucial. To aid institutions and authorities in this endeavor, WPForms has designed the Health Declaration Form Template.
How Does the Health Declaration Form Template Work?
Using the WPForms’ intuitive and user-friendly drag-and-drop form builder, the Health Declaration Form Template incorporates numerous fields to capture key health and travel data. Let’s dive into its features:
- Personal Information:
- This section is fundamental to establishing a connection with the individual.
- It asks for their Name, Email, Phone Number, Nationality, Gender, ID Number, and Residential Address.
- This foundational data ensures authorities have direct communication channels if needed.
- Travel History (Last 14 Days):
- In the ever-shifting landscape of global health, understanding where someone has been can be invaluable.
- This section prompts users to detail the Countries Visited, their Date of Arrival, and the specific Flight, Train, or Bus Number they utilized.
- This detailed travel log aids in contact tracing and understanding potential exposure risks.
- Health Status & Symptoms:
- To truly understand the health status of an individual, this segment of the form focuses on their recent symptoms and potential exposure.
- Users are asked to identify if they’re experiencing prevalent symptoms like fever, cough, or fatigue. Along with this, their current Temperature Reading is recorded.
- Crucially, it also inquires if they’ve been in close contact with any confirmed cases in the past 14 days.
Sign up with WPForms today and access the Health Declaration Form Template. This customizable template can play an effective role in health monitoring and preventive measures in case of any spread of an infection or disease.
