What information is required is required for the questionnaire?

What information is required is required for the questionnaire?

The information that is required are:

1). General Information
  1. Organization type
  2. SHIELD ID
  3. Organization/district name
2). Main Office Information
  1. Website
  2. Facility phone
  3. Mailing address
3). Shipping Address
4). Main Point of Contact
  1. Full Name
  2. Email address
  3. Phone Number
5). Roster Upload Contact
  1. Full Name
  2. Email Address
6). IT Support Contact
  1. Full name
  2. Email address
7). Collections/ Testing Operations Contact
  1. Full name
  2. Email address
8). PR/Marketing Communications Contact
  1. Full name
  2. Email address
9). Patient Support Email Address
  1. Email Address
10). Post-Orientation Questionnaire
  1. Requested Startup Date
  2. Ramp Up Plan
12). Population/Enrollment
  1. Count of Employees
13). Testing Hours
  1. Testing hours by weekday
  2. Collection Staffing Model
  3. Lab delivery schedule
  4. Lab delivery arrangement
14). Results Portal Type
  1. Parent
  2. Employee
15). Usage of Patient QR Codes
16). "Passport" Badge Required
17). Testing Locations
  1. All locations where the SHIELD Saliva test will be administered must be added
  2. 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. 


    • Related Articles

    • Why am I asked my demographic information, including my race and date of birth?

      The laboratory that processes the tests needs to identify the sample to the person who provides the sample, requiring a date of birth. Also, all positive test results  must be reported to the Illinois Department of Public Health in accordance with ...
    • What do I do if we don’t know a piece of information?

      Please enter as much information as possible when completing the questionnaire. If there are additional locations or changes in the information originally provided, please reach out to shieldilpartnerhelp@uillinois.edu 
    • What information is required to be tested?

      People utilizing a SHIELD community testing site must provide an email address or phone number as identification to be tested and receive results. For testing at schools or other organizations not open to the public, the sponsoring organization may ...
    • Can I contact the lab for more information?

      The laboratories which perform the covidSHIELD test for SHIELD Illinois cannot provide any patient, agency, or any other party any information about covidSHIELD, the laboratory process, SHIELD Illinois, et cetera. The labs also cannot provide any ...
    • What is the questionnaire used for?

      The information you submit in your questionnaire will be used to set up your organization for lab planning, IT, and general site setup.