Medical Questionnaire for Individuals Who Drive Powered Industrial Vehicles

Form Template

Detailed Medical Questionnaire from GoCanvas for those who drive powered industrial vehicles such as trucks, tractors, cranes and more.

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Includes personal information and an extensive section on alcohol use. Also includes basic questions that may affect the driver's ability such as vision or hearing issues as well as several medical conditions.

Features
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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