For your Coronavirus vaccine, you can use this “Pre Vaccination Screening Questionnaire” multi language tool
No registration and no fees, with 17 languages available from input to print
②Select your favourite language
③Fill in the first part of the Questionnaire with your personal information and click “NEXT”
④Fill in the second part of the Questionnaire, replying to the questions and click “NEXT”.
⑤Check your entries and click “NEXT”.
⑥Give it a final check and click “Print Out”
➆You will see a Questionnaire filled in Japanese according to your entires. You can print it out and bring it with you at the Vaccination venue, OR you can copy the Japanese text by hand onto your original hardcopy Questionnaire.