COVID Screener Questionnaire

OHO COVID-19 Screening Survey (OCSS) Screenshots

External Survey

First Screen with Privacy Statement and PRA Statement Collapsed:

First Screen with Privacy Statement expanded:

First Screen with the PRA Statement Expanded:

First Screen with Errors:

Second Screen – Survey Questions:

Cleared for Hearing Screen:

Cleared for Hearing Email:

Check In Confirmation:

Not Cleared for Hearing Screen:

OHO Case Manager Dashboard (Internal users):

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