COVID-19 screening questionnaire form template

COVID-19 screening questionnaire form template

£1.00

A COVID-19 screening questionnaire should be designed to identify individuals who may have symptoms of COVID-19 or who have been in close contact with someone who has tested positive for COVID-19.

Template

Access 12 months (includes updates)
Length 216 words · 1 page
Jurisdiction England, Wales and Scotland
Based on UK employment law, ACAS guidance
Last review 01/08/2026
Next review 01/02/2027
Delivery Instant download
Formats .doc · .xls · .txt · email

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COVID-19 screening questionnaire

  1. Have you experienced any of the following symptoms in the last 14 days? (Check all that apply)
  • Fever or chills

  • Cough

  • Shortness of breath or difficulty breathing

  • Fatigue

  • Muscle or body aches

  • Headache

  • New loss of taste or smell

  • Sore throat

  • Congestion or runny nose

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What is a COVID-19 screening questionnaire form?

A COVID-19 screening questionnaire is a set of questions designed to identify individuals who may have symptoms of COVID-19 or who have been in close contact with someone who has tested positive for COVID-19. The questionnaire typically includes questions about symptoms, recent travel, and potential exposure to COVID-19.

COVID-19 screening questionnaires can be used by healthcare facilities, employers, schools, and other organisations to help identify individuals who may need to be tested for COVID-19, self-isolate, or quarantine. The purpose of the questionnaire is to help prevent the spread of COVID-19 by identifying individuals who may be infected and taking appropriate precautions to limit their contact with others.

Depending on the situation, a COVID-19 screening questionnaire may be administered in person, online, or over the phone. It is important to ensure that the questionnaire is designed to collect accurate and relevant information, and that individuals are informed of the importance of answering the questions truthfully and to the best of their knowledge.

Compliance

UK employment law and best practice

  • General Data Protection Regulation (GDPR): Ensures that the collection and processing of personal data through the COVID-19 screening questionnaire comply with data protection principles.

  • Health and Safety at Work Act 1974: Requires employers to assess and manage risks to health and safety, including implementing measures such as COVID-19 screening questionnaires to identify potential risks in the workplace.

  • Equality Act 2010: Requires employers to consider reasonable adjustments and accommodations for employees with disabilities or underlying health conditions when implementing the COVID-19 screening questionnaire.

  • The Control of Substances Hazardous to Health Regulations 2002: Provides a framework for employers to assess and control the risks associated with hazardous substances, including viruses like COVID-19, and implementing screening questionnaires can help identify potential exposure risks.

  • The Health and Safety (Display Screen Equipment) Regulations 1992: Employers should consider the impact of remote work arrangements and implement screening questionnaires to assess the health and safety risks associated with working from home during the pandemic.

  • The Management of Health and Safety at Work Regulations 1999: Employers have a duty to conduct risk assessments and take appropriate measures to protect the health and safety of employees, including implementing COVID-19 screening questionnaires to identify potential risks and implement control measures.

  • The Public Health (Control of Disease) Act 1984: Provides legal powers to public health authorities to control the spread of infectious diseases, and implementing COVID-19 screening questionnaires can help identify and manage potential cases within the workplace.

  • Occupational Health and Safety regulations: Depending on the industry, specific occupational health and safety regulations may require the implementation of COVID-19 screening questionnaires as part of risk management and prevention strategies.

UK employment law guidance for COVID-19 screening questionnaire form template

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Frequently Asked Questions

Can I use this in my small business?

Yes. This template has been designed for organisations of all sizes, including small businesses, charities and growing employers. It follows UK employment law best practice and can be adapted to suit your organisation.

Is it compliant with 2026 UK employment law?

Our templates are developed with UK employment legislation, Acas guidance and HR best practice in mind and are reviewed and updated as relevant requirements change. However, every employment situation is different, so the template should be adapted to the circumstances and checked against the employee's contract and your organisation's procedures before use.

Can I customise it for my organisation?

Yes, we highlight the areas of the document that you need to update with your own details, and where you need to make decisions to suit your situation. This saves you time and ensures that you meet best practice.

Do I get instant access to it?

Yes. Once purchased, you'll be able to download it instantly. Templates are provided in editable format (such as .doc or .xls) so you can customise them easily, and in PDF format for easy sharing.

What if I need more help, not just this template?

If you're looking for broader support, we also offer toolkits and library bundles that include the COVID-19 screening questionnaire form template, along with other HR templates and policies for fully managing your situation. These may be more cost-effective if you need deeper advice.

Why should I use this COVID-19 screening questionnaire form template, and not AI to generate it?

AI can produce a document quickly, but effective HR documentation needs to be more than well-written words. It needs to reflect relevant UK employment law, HR best practice, practical considerations and the circumstances in which it will be used. These resources have been professionally developed around that wider HR context, drawing on extensive practical experience, rather than simply generating a generic document from a prompt.

About the author

Darryl Horn, Chartered HR Director

Darryl is a Chartered HR professional with over 25 years' experience in senior HR and employee relations roles.

He has extensive practical experience of managing processes and founded hrdocbox to provide businesses with practical, professionally developed HR resources grounded in UK employment law and best practice.

Executive recommendation

"Darryl provides support and advice with excellent judgement, and has a strong understanding of people, policies and UK employment legislation."

"He is someone I trust; consistent, dependable, and committed to doing things properly."

RB
Ruth Brock Chief Executive Officer The Hygiene Bank
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