Skip survey header

Coronavirus (COVID-19) Risk Assessment

The purpose of this online assessment is to identify whether you may be at risk for coronavirus (COVID-19) and provide options for next steps.

The assessment will take about 2 minutes to complete. Your responses will be anonymous and remain strictly confidential.

This assessment is being conducted by HealthEngine Pty Ltd (ABN 19 138 767 021). If you have any questions about the assessment, please contact 

By submitting this form, you agree to HealthEngine’s Terms of Use, Privacy Policy and Collection Statement. In accordance with our privacy policy, HealthEngine undertakes to treat any personal information provided by you as confidential and only for the purposes indicated. HealthEngine uses the services of SurveyGizmo for the collection, aggregation and analysis of assessment data. The information you provide is stored in SurveyGizmo's secure data warehouse. The information collected in these assessments is transmitted and stored securely in the United States and is accessed by HealthEngine in accordance with SurveyGizmo’s privacy policy. By completing this assessment, you agree to this transfer. You may decline to provide this information by not completing this assessment. If you do provide an assessment answer you consent to storage of your assessment answer offshore (outside of Australia). This means that once you have chosen to participate in the assessment, HealthEngine will not have an obligation to take reasonable steps to ensure that SurveyGizmo does not breach Australian privacy legislation in relation to personal information that is given to SurveyGizmo. You can access SurveyGizmo’s privacy policy here.