What information is required is required for the questionnaire?
The information that is required are:
1). General Information
- Organization type
- SHIELD ID
- Organization/district name
2). Main Office Information
- Website
- Facility phone
- Mailing address
3). Shipping Address
4). Main Point of Contact
- Full Name
- Email address
- Phone Number
5). Roster Upload Contact
- Full Name
- Email Address
6). IT Support Contact
- Full name
- Email address
7). Collections/ Testing Operations Contact
- Full name
- Email address
8). PR/Marketing Communications Contact
- Full name
- Email address
9). Patient Support Email Address
- Email Address
10). Post-Orientation Questionnaire
- Requested Startup Date
- Ramp Up Plan
12). Population/Enrollment
- Count of Employees
13). Testing Hours
- Testing hours by weekday
- Collection Staffing Model
- Lab delivery schedule
- Lab delivery arrangement
14). Results Portal Type
- Parent
- Employee
15). Usage of Patient QR Codes
16). "Passport" Badge Required
17). Testing Locations
- All
locations where the SHIELD Saliva test will be administered must be added
-
For
example, if you are a school district comprised of five schools and testing
will occur at all five, enter the information for each school.