Health Screening Form for Visitors
Dear Sir / MadamTo prevent the spread of novel coronavirus (nCoV) in our community and reduce the risk of exposure to our staff and visitors, we are conducting a simple screening questionnaire. Your participation is important to help us take precautionary measures to protect you and everyone in this building. Thank you for your time.
Personal contact number
NRIC (Last 4 Digits/Passport no)
Organisation of visitor (If applicable):
Thanks for submitting!
Name of Host
Teo Sing Nee
Temperature Reading of visitor:
Recorded by staff:
Weipeng ( HR )
Jiayin ( HR )