Students'DailyHealth Reporting 学生每日健康问卷(英文版)
介绍
本模板旨在提供学生每日健康信息收集的标准化解决方案。帮助您掌握学生体温情况、了解出行接触史、排查症状表现,适合学校及教育机构保障校园健康安全。 标签
关于
官方
来源
4个月前
更新
1230
频次
11
题目数
分享
Thanks for your cooperation!
Q1:I promise I will fill the bellowing form with true and accurate information and bear the correspondent responsibilities if I was covering up.填表人承诺以下填报内容属实,如有瞒报、漏报、迟报、谎报等,愿意承担相关法律责任。
Q2:What was the time when you are filling the form?进行筛查的时间?
Q3:Your Name:学生姓名
Q4:Your current temperature:您的体温
Q5:Did you or will you leave Beijing today?您今天有离开北京吗?
Q6:Your current location:您的当前所在地
Q7:Your co-resident(s) stay in Beijing today?今天学生的所有同住人在北京吗?
Q8:Do you or any of your co-resident(s) have the following symptoms?学生或共同居住人是否有以下症状发生?
Q9:In the past 14 days, have you or your co-resident(s) been in contact with persons who are back to Beijing from abroad ?在过去的14天内,学生或共同居住人是否接触过从境外来京人员?
Q10:In the past 14 days, have you or your co-resident(s) travelled from medium-risk or high-risk areas to Beijing?在过去的14天内,学生或共同居住人是否从国内中、高风险地区返京?
Q11:Do you have any visitors from other cities in China today?今天你的家庭中有京外人员到访吗?
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