NVFS COVID-19 Health Screening Form
At NVFS, the health, safety, and wellbeing of our employees, clients, volunteers, interns, donors, and other visitors are our primary concerns.  Each day that you will enter an NVFS location or meet with NVFS colleagues, clients, volunteers, interns, donors, or other visitors, please answer the following questions and follow the provided instructions on the day of the visit.

Each time you will be meeting with a client, volunteer, intern, donor, or other visitor indoors (regardless of location), or for more than 15 minutes if outdoors, please also complete this form on their behalf on the day of the meeting.  This means you should complete one form for yourself and one form for each other person.
Sign in to Google to save your progress. Learn more
Are you completing this form for yourself or someone else? (Please complete one form per person) *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Northern Virginia Family Service. Report Abuse