Let's start with the basics.

Please fill in the details below so that we can get started
on building your bot.

Tell us a little about you.

Who are we talking to?

Tell us a little about your company.

Who are we talking to?

Tell us a little about your company.

How many locations do you have?

How many departments, divisions or teams do you have?

How many Supervisors (manager, coaches, etc.) would need to review and verify user screenings?

Temperature Screening

Would you like to require a temperature screening?

If a user responds with an answer that may prompt a YELLOW or RED result to one of the screening questions, would you like the user to provide an explanation of their symptoms or circumstances?

What specific actions do you want the user to take if their self-assessment is YELLOW or RED?

* If you selected contact HR, Supervisor, or Contact a Specific person, please provide contact details.

Contact Name, Email, and Phone Number

Customize your bot:

Do you want to use your logo and colors to personalize the HealthShield system? (optional)

Max file size 10MB.
Uploading...
fileuploaded.jpg
Upload failed. Max size for files is 10 MB.
DONE!

Thank you inquiring about our HealthShield Covid Symptom screening tool.  Your information will help our team make a recommendation on how the tool can best support your operational needs and local health regulations. You can expect a follow up email momentarily and our team will reach out to answer any questions, demo the product, and review your needs.

Previous
Next step
Thanks! I have received your form submission, I'll get back to you shortly!
Oops! Something went wrong while submitting the form