PLG Health Questionnaire for COVID-19
If you have stayed at any evacuation center due to typhoon Ulysses, a 14-day quarantine shall be required after you return to your home. Please contact HR.
Good day! Please select your action
Register using a Registration Code.
I already have an account and ready to login.
Enter your Registration Code and set a Passcode.
Note: If you previously did this step, kindly go back and select to login.
Enter your Employee ID No. and correct Passcode.
My vaccination status
Mayroon ng PANGALAWANG BOOSTER shot
Mayroon ng UNANG BOOSTER shot
Wala pang BOOSTER shot
Employee Information
Note: You will not be able to go back to Step 2 (Verification Page) after leaving this page unless you refresh the whole page.
Select your desired form
Pre-Work Questionnaire
Weekly Health Report or Returning to work from LOA
Note: Only choose this option every Monday or if you filed a LOA and returning to work.
Daily Health Report
Antipolo Bantay COVID-19 Contact Tracing
Upload QR Code if you have one or skip this step if you already see yours below
Your Personal Health
past 24 hours
Do you have Cough?
Yes
No
Do you have runny nose?
Yes
No
Do you have diarrhea?
Yes
No
Do you have sore throat?
Yes
No
Do you experience body pain? (any part of the body)
Yes
No
Do you have headache?
Yes
No
Do you have fever?
Yes
No
Are you having difficulty in breathing?
Yes
No
Your household/family health
past 24 hours
.
Is any member of your household COVID-19 positive, considered PUI or with respiratory symptoms?
Yes
No
Potential exposures due to movements
Did you visit any of the following:
→ hospital?
Yes
No
If yes, reason?
→ Visit with relative who recently arrived from abroad?
Yes
No
If yes, when did he/she return?
Did you attend any mass gathering activities with more than 20 participants? If yes, how many hours?
(Please do not include hours spent at Ponderosa)
No, I did not attend.
less than 1 hour
1 to 2 hours
more than 2 hours
Next »
Cleared to work
This is the end of the questionnaire. Take care and have a nice day.
