Keep COVID-19 out of your business with a health assestment or contact tracing QR code form.

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.

Two options gives you two options to choose from:

COVID-tracing form QR code

This QR code form has 1 purpose:

  1. To collect contact information so you can immediately alert anyone who may have been in your premises at the same time as a confirmed COVID-19 case.

With this QR code and form, visitors provide the following information: 

  • Name
  • Phone number
  • Email
  • You can add 2 additional customized questions to the form if you want. 

Upon completion of the form, the visitor will receive a time-stamped screen they can show to gain entry.

You can choose to automatically delete the information visitors provide you for either type of form.

COVID-screening QR code

This QR code form has 2 purposes:

  1. To collect contact information so you can immediately alert anyone who may have been in your premises at the same time as a confirmed COVID-19 case. 
  2. To have visitors assess themselves for potential COVID-19 symptoms or exposure. 

With this QR code and form, visitors provide the following information: 

  • Name
  • Phone number
  • Email
  • Symptoms (Yes/No)
  • Contact with positive cases (Yes/No)
  • Flights (Yes/No)
  • Declaration of accuracy and privacy info.
  • You can add 2 additional customized questions to the form if you want. 

Upon completion of the form, the visitor will receive one of two time-stamped screens:

  1. Everything looks good. Please show this screen to enter.
  2. We have some additional questions. Please speak with our safety officer.

Regardless of which screen they land on, you make the final decision about entry.

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 COVID-19?

COVID-19 is an infectious and sometimes fatal disease caused by the coronavirus strain SARS-CoV2. Because it is new to humans, our bodies have a difficult time dealing with it and thus it has turned into a global pandemic.

The disease was first detected 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 COVID-19

It can be transmitted through saliva droplets from an infected person, such as when they talk or cough. That’s why we need to keep the physical distance of at least 3 feet (1 meter).

It can be transmitted if you touch a surface that has the virus on it and then touch your nose, mouth or eyes. That is why it is important to not touch your face unless you have washed your hands for at least 20 seconds with soap and water before and to disinfect surfaces regularly.

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Safety measures to get back to work

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

Contactless solutions are gaining popularity in many industries so both employees and visitors can avoid unnecessary contact with surfaces.

For starters, social distancing is (and will be) a must from now on, along with a minimum health self-assessment before entering into places with crowds.
Some businesses are utilizing Infrared thermometers (200 USD, give or take) to measure visitors’ temperatures at the entrance of their facilities. Anyone with a high temperature is flagged and refused entry.
QR codes are another alternative that is accessible to everyone with a smartphone. Visitors will access a contactless self-declaration form with a few questions about their health status, like the one we are offering for free here. These forms ask people a few questions about symptoms and potential contact with positive COVID cases.

Companies are already changing their value proposition.

QR code forms are helping stop the spread of COVID during and post quarantine. The “COVID QR code,” or “Opt-in health form” aims to provide an additional layer of safety before visitors/employees access the venue.

While companies are doing what they can to help stem the spread of COVID-19 and healthcare authorities look for a vaccine, general uncertainty has emerged with events suspended or happening without the usual crowds of people and numerous jobs lost as the world’s economies slow down.

This is a challenging time in particular for people that can’t perform their work remotely, like many healthcare professionals, some restaurant staff, and physical retailers in general.
During this time of trying to go back to normal, companies and institutions have to pay special attention to directives from the CDC (Centers for Disease Control and Prevention) to follow the best safety practices possible.

Remember that from now on, SAFETY must be FIRST .

Contactless health check-ups at entries will ensure customers, employees, and essential providers are safe inside your facility, helping to flatten the curve and reduce the spread.

QR codes for healthcare establishments

For healthcare facilities, a contactless health self-declaration form placed at the reception area 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 so that, once the QR code is scanned, and the form is completed, the system will notify the visitor automatically if they’re okay to enter. If the contactless form detects something alarming in their answers, it will prompt them to wait outside for instructions from 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 to fight coronavirus is gaining traction across industries. From hospitals and schools to public transport, retailers and even government offices, QR codes and contactless forms are 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 compare with western countries, that is like if you put Facebook, WhatsApp, and Google users together. The Chinese government asked all its citizens to fill a form within the apps, designating the person one of 3 colored QR codes.

China’s 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 or who were recently ill, or who were 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, runny nose, stuffy nose, diarrhea, or sore throat).

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

If a new Coronavirus case is detected, the healthcare system can quickly track that person’s movements in public places, identifying people that might have been in contact with the individual.

Hospitals have benefited the most with the color-based contactless QR code. This health tracking system is saving a lot of time for 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 facilities. 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 medical facilities, it has proven useful as a first security layer. The visitor must digitally sign the self-declaration questionnaire, legally binding them. 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 important for preventing the coronavirus from spreading further.
Public venues can reduce the manipulation of objects by digitizing some of them, like removing physical menus from restaurants, and uploading them to a QR code. That way, customers won’t need to touch the menu.

QR codes are at the front line of 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 require a range of around 2 inches (5 centimeters). QR codes can be scanned from a safer distance than using NFC and are more cost-effective.

How to create a Coronavirus QR code?

Paypal 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. Then, download and print the QR code. 

Once printed, display the QR code in highly visible places at the entrances of your workplace like in the waiting area, or the welcome desk or even outside the outer door.
When a visitor submits the QR code form, it will automatically be forwarded to your inbox.

Prevent the spread of the novel coronavirus by putting a QR code outside your entrances to collect information about visitors and 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 the disease.

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