An Mpox (formerly Monkeypox) Exposure Risk Assessment Form is a form template designed to gather information about an individual's potential exposure to Mpox, a contagious virus. This form includes questions about recent travel history, contact with known or suspected Mpox cases, participation in activities that might increase exposure risk (such as attending large gatherings), and symptoms consistent with Mpox. The purpose of this form is to identify individuals at risk, guide testing and isolation decisions, and prevent further spread of the virus. Public Health Agencies, Hospitals and Healthcare Providers, Occupational Health Departments, Telehealth Providers, Non-Governmental Organizations (NGOs), Research Institutions, Schools, and Universities can benefit from using this form to assess and manage the risk of Mpox exposure.
Jotform's Form Builder, Jotform Apps, and Jotform Tables are the selected products that can enhance the Mpox Exposure Risk Assessment Form. Jotform's Form Builder is a user-friendly, drag-and-drop online form builder that allows users to create customized forms for various purposes. With its extensive field options and widgets, users can easily collect the necessary information. Jotform Tables, a spreadsheet-style workspace, provides the perfect platform for organizing and analyzing the data collected through the form. It offers collaborative features for team data management and integrates seamlessly with Jotform forms. By utilizing these Jotform products, users can streamline their data collection process, access real-time reports, and ensure ease of use and customization.