5月25日 9(1) students health investigation(before 16:00)
请大家在每天下午4点前完成,谢谢。please finish the questionnaire before 4pm every day,thanks
1. 学生姓名 Student name
2. 学生信息有无变更 if there is any change of student information
有 Yes
无 No
备注 Note
3. 学生今天身体有无不适?is there any uncomfort today?
无任何不适NO UNCOMFORT
发烧fever
咳嗽cough
呕吐throw up
其他others
4. 学生本人和同住人是否有发热、咳嗽、呕吐等新冠症状? Do student and her/his co-residents have symptons of covid-19 such as fever,cough or vomiting?
有 YES
无 NO
备注 NOTE
5. 学生同住人近期是否有从境外或京外返京的?are there any people living with students return to BEIJING from outside ?
有yes
无NO
6. 学生本人及同住人当日是否有出京或返京?if student and his/her co-resident will leave or return to Beijing today?
有 YES
无 NO
备注 NOTE
7. 学生本人和同住人当日是否在居家医学观察中?if student and his/her co-resident are under medical observation at home today?
是 YES
否 NO
备注 NOTE
8. 学生本人及同住人是否与确诊病例有相交轨迹 if the student and their co-resident presented at the same time or place with the COVID confirmed case today?
是Yes
否No
9. 学生本人及同住人是否进行了海淘? If the student and their co-resident has done the overseas shopping today?
是Yes
否No
10. 其他需要说明的问题 Any special notes need further explanation
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