新型新冠狀疫苗學生接種意向調查 COVID-19 vaccination status of CityU students.

*1. 中文姓名 Full name

*2. 學生證號 Student number

*3. 聯絡電話 Contact number

*4. 您是 What kind of student are you?

澳門本地生 Macau local student

非本地生 International student

*5. 年級 Class

*6. 您是否已接種新冠疫苗 Have you completed the COVID-19 Vaccine?

已接種第一劑 I have taken the first dose of COVID-19 vaccine only.

已接種第二劑 I have completed the COVID-19 vaccine.

未接種但已預約 I have not taken any dose of COVID-19 vaccine just yet but I made an appointment for vaccination.

從未接種疫苗 I have not taken any dose of COVID-19 vaccine.

*7. 如在10月25日前展開校內學生新冠疫苗接種服務, 您是否願意參加?

Are you interested if we organized a vaccination in City University of Macau campus before 25 October of 2021?

是 Yes

否 No