Create a COVID health self-assessment QR code form for contact tracing in 3 minutes.​

Visitors will complete a contact tracing and health self-assessment QR code form at your establishment entries to help prevent Coronavirus spread.

It takes only 3 minutes to set up, and it's free.

Covid protection

This free solution has been built based on the guidelines of the World Health Organization and intends to respect the Data Collection and Privacy guidelines.
Our only interest is to help stop the spread.

A safer environment built on individual responsibility.

Visitors safety

Visitors will feel safe to enjoy at your venue, knowing that there's a quick self check-in at the door of your COVID-19 FREE ZONE.


If one of your visitors or employees is infected, you will be able to quickly facilitate contact tracing to health professionals and help stop the spread.

Business owners

Display the COVID-19 FREE ZONE QR code to show your visitors and employees you care about them. A health QR code form at the entrance will create a safer environment.

Health check-in QR code made easy

Know who and when checked in at your venue. Avoid the coronavirus spread.

The visitor will scan the QR code with the camera of her smartphone, and a contactless form similar to this one will appear on her screen.
After completing it, the system will prompt her that she can enter. Learn more.

What happens if somebody that visited my venue is infected?

If somebody that checked in at your venue lets you know that it’s infected with COVD-19, you will be able to download a report from your profile with all the people that might have been in contact with that person.

How the coronavirus QR code form works

Sign in for free here. Add your logo to the self-declaration form and print the QR code. It takes only 3 minutes!

Make sure it’s visible, so visitors must scan it before accessing your establishment.

It will take your visitors only 1 minute to complete the contactless form, speeding up the registration process.

The system is designed to keep track of who and when entered your establishment. Use this self-declaration QR code form to filter entries, and notify those that might be of high-risk.

Restaurant PDF download

Health QR code contactless form: Use cases

Getting used to "the new normal." These use cases will be implemented at restaurants, supermarkets, health facilities, stores, hotels, and malls, among others. It will start being applied in facilities, to receive visitors securely, in a health-wise context.

Self-declaration form

Prevent the spread in communities, using self-declaration forms

Health declaration form

Display the COVID health declaration QR Code form at your venue entries. Visitors will scan it and fill out the questionnaire.
  1. Place your COVID QR Code form in visible areas.
  2. Have your visitors scan and fill out the contact tracing self check-in form
  3. Grant access after the form has been completed
If a positive case is detected, you can inform employees, residents, and other visitors who might be potentially at risk.

Risk evaluation form

Assure your employees & visitors safety

Risk evaluation form

Ask your employees and visitors to scan the COVID QR code and complete the form with her name, phone and email.
  1. Display QR Code at visible areas
  2. Have concerned employees and visitors scan it
  3. Suggest solutions based on the WHO standards

Contact tracing

Help your local authorities

Contact tracing

In the event of an outbreak, visitors who scanned and filled out the COVID QR Code form can be contacted if a positive case is detected. Also, it can help local authorities to trace a human-to-human transmission of the Virus.
  1. Allow your visitors to scan the COVID QR code form by placing it in a visible area.
  2. If a positive case is detected, inform visitors who visited your premises the same day, that might be at risk.
  3. Prevent mass transmissions.

Visits check-in code

Give access to your venue.

Visits check-in code

Create a safer environment for everyone. Help trace potential cases. You can stop the spread.
  1. Place the QR code on entries or in your touchscreens.
  2. Visitors scan the QR code to fill in the self check-in form.
  3. Grant access.

Create and print your QR code contactless form in 3 minutes, and it's free.

FAQ about coronavirus QR codes

Can I modify the form questions?
Not at the moment. The form has been updated to request Full name, Phone and Email, to optimize contact tracing. It will also print the date and time of the visit. In the coming days we’ll add the possibility to create new fields to the form, from the control panel.

Can I modify the QR code design?
Yes, you can change the design right from your control panel, once you’re logged in. You can log in here.

Can I put my logo on the form?
Yes, you can insert your logo and add a title to your form.

How many Contact tracing QR code forms can I create per account?
You can create one COVID-19 contactless form per account. To manage more forms under your account, please consider upgrading to Premium.
Is there a limit on the replies I can receive?
If you expect to have more than 100 monthly responses, please upgrade to Premium.
How many Contact tracing  forms can I create within my free account?
You’re free to print as many copies of the QR code form as you require, so there’s no limit on the copies. If you happen to need multiple different QR code forms, please upgrade your account.
Are you keeping a database of the replies?
How is my data used and stored?
We take Privacy and Data Collection laws seriously. We will not monetize nor share the information provided in your forms by your visitors. The system will store each reply, and flush it after 30 days if not required. It’s your decision to share it with the local authorities.
You can always request to completely delete the form you’ve created and to remove all responses by sending us an email to

Help your visitors recover their trust while preventing the spread of coronavirus

It takes only 3 minutes to create it, and it's free of charge.

Covid social distancing

In these difficult times, we stand by you.
– the crew

What is the coronavirus?

The new coronavirus disease, also known as SARS-CoV2, SARS 2, and COVID-19, is a global pandemic that is threatening the way we live. This infectious disease caused by the severe acute respiratory syndrome COVID-19 was first originated in Wuhan, China, back in December 2019.

The image shows a cell (in red) in the process of apoptosis or cell death, infected with the SARS-CoV2 coronavirus (yellow dots), taken from a patient. Credits:

Most common ways to contract the new coronavirus

We can easily catch it when we get in contact with small droplets from an infected person when she simply coughs or breathes out near us. That’s why we need to keep the social distance of at least 3 feet (1 meter). Scientists found out also that we can get infected by merely touching everyday objects since the virus can remain active for days.

It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or eyes.

The Centers for Disease Control and Prevention Tweet

Safety measures to get back to work

With restaurants closed, falls of 60% in the fashion industry, and up to 85% fewer sales in luxury products. Some governments are already comparing the upcoming recession to World War 2.
The good news is, China restarted its economy already, after 59 days of strict lockdown. A quarantine model that the rest of the world guided by the WHO (World Health Organization) is aiming to follow.
As the world lockdown gets softer, new rules are being applied to keep everyone safe. It will be essential to control the access to enclosed spaces and so prevent the spread as people go back to work.

Contactless solutions are more and more popular across multiple industry verticals, to engage with visitors and employees, avoiding unnecessary contact with surfaces.

For starters, social distancing is (and will be) a must from now on, along with a minimum health check-up before entering into crowded places.
Some retailers and brick-and-mortars are choosing Infrared thermometers (200 USD, give or take) to measure the temperature at the entrance of their working facilities.
QR codes are the alternative option, accessible to everyone. The visitor will access a contactless self-declaration form with a few questions about the visitor health status -like the one we are offering for free here. These two are the most popular quick health-control layers. The first one will need a person at the entrance of the venue checking with an infrared thermometer pistol for people with over 99ºF (37,5ºC) – fever. In contrast, the second one will request visitors to scan the QR code and self checking-in.

Companies are already changing their value proposition.

QR code forms are helping bend the spread curve during and post quarantine. The “COVID QR code,” or “Opt-in health form” is aimed to provide a health check layer before the visitors/employees access the venue.

While companies reduce the expanse of COVID-19 and healthcare authorities are trying to find a cure, suspended events, job losses, and general uncertainty has emerged.
This is a challenging time in particular for people that can’t deliver their task via remote working. Healthcare professionals, restaurants, and physical retailers in general.
During this going-back-to-normal weeks, companies, and institutions will have to pay special attention to the CDC (Centers for Disease Control and Prevention) directives to provide the best safety practices possible.

Remember that from now on, .

Contactless health check-ups at entries will ensure customers, employees, and essential providers maintaining social distancing to helping flatten the curve and reduce the spread.

QR codes for healthcare establishments

For healthcare facilities, a health self-declaration contactless form at the reception could be a time-saver, preventing infected visitors from spreading the virus when entering the healthcare venue. It is the first control layer. The system is designed that, once the QR code is scanned, and the form is completed, the system will notify the visitor automatically if she’s ok to enter. If the contactless form detects something suspicious in her answers, it will prompt her to wait outside and ask for instructions to one of your health professionals.

"Contact tracing is an essential step, and this is why similar initiatives are being adopted in places around the world."

More and more countries are starting to implement QR codes in their fight against the coronavirus.

The use of QR codes as a contactless way of interacting with the population in-situ to fight coronavirus is gaining traction across industries. From hospitals and schools to public transport and retailers. Not to mention Governments, proving their effectiveness while being cost-effective.

"Technology now plays a critical role in containing the pandemic."

Xian-Sheng Hua, a health AI expert at China's e-commerce giant Alibaba, told CNN. Tweet

QR Codes as a close contact detector

China has requested health controls in all public places. At these checkpoints, the visitors must show a colored QR code to be granted access to the establishments, complete with a temperature check.
This health control system is hosted within the popular Chinese apps, Alipay, and WeChat. These two apps are used by 99.9% of Chinese people. To put it in perspective with western countries, it is like if you put together Facebook, WhatsApp, and Google users together. The GOV asked all its citizens to fill a form within the apps, designating the person one of 3 colored QR codes.

China QR codes different colors and meanings


Green QR code

The person can circulate freely in public places.


Yellow QR code

For people recently arrived from other countries, that was recently ill, or are in contact with people that could be ill. They are advised to stay at home for at least 7 days.


Red QR code

People currently affected by the virus. Under medical observation or suspected cases. They must quarantine for at least 14 days either at home or in a government facility.

These are some of the information requested by the Chinese Government to its citizens via the questionnaire to put the health QR code color in action:

  • Full name,
  • ID/passport
  • Phone number
  • Travel history
  • Contact with confirmed COVID-19 cases in the last 14 days
  • Check for symptoms they could be experiencing (fatigue, fever, dry cough, running nose, stuffy nose, diarrhea, or throat ache).

The system will automatically verify the information, assigning one of the 3 colored QR codes.

If a new Coronavirus case is spotted, the healthcare system can quickly backtrack the movements in public places, identifying people that might have been in contact with the individual.
Hospitals have benefited the most with the colored-based contactless QR code. This health tracking system is saving a lot of time to health professionals that, before the implementation of the check-in QR code, had to go through an extensive interview with visitors before letting them access the installations. At the same time, the self-declaration questionnaire allows an early screening, eliminating waiting times and long queues to access the hospital.

Personnel cleaning a facility
Photo by Tedward Quinn on Unsplash

Although some patients lied when answering some of the questions to access the medical facilities, it had been proved useful as a first security layer. The visitor must digitally sign the self-declaration questionnaire, legally binding the person. This, complemented with an infrared thermometer, makes the whole process faster and safer for everyone.

Reducing contact with physical services like touch screens and physical desks is a primary requirement for avoiding the coronavirus to spread further.
Public venues can reduce the manipulation of objects by digitalizing some of them. Like removing physical menus from restaurants, and uploading them to a QR code, in that way the customers won’t need to touch the same menu.

QR codes are at the front line fighting the coronavirus. The average scanning distance to read a QR code is 11.8 inches (30 cm) – it can be more if the QR code is big enough. On the other hand, devices with NFC (near field communication) enabled requires a range of around 2 inches (5 centimeters). In conclusion, QR codes can be scanned from a safer distance than using NFC and are more cost-effective.

How to create a Coronavirus QR code?

It takes only 3 minutes to get your QR code working for your venue. Simply create a free account, select your industry, and upload your logo. In no time you will be using coronavirus QR codes in your facilities to help prevent the spread of COVID-19 in your workspace.
Once printed, display the QR code visible at the entrance of your working place, the waiting area, or the welcome desk, just to name a few spots.
When the visitor submits the QR code form, automatically, it will be forwarded instantly to your inbox.
Prevent the spread of the novel coronavirus by putting a QR code outside, to collect information about the visitor to check them before granting access to your venue.

Putting in place a protocol to enter into crowded spaces is absolutely crucial to avoid spreading any infection.

Contactless engagement is critical during and after the quarantine, as it reduces the need to touch surfaces, hence increasing security and slowing down virus spread.

Help your visitors recover their trust while preventing the spread of coronavirus

It takes only 3 minutes to create it, and it's free of charge.

Restaurant PDF download