6.24 MIS Staff Daily Check 曼校教职员工日常监测表
*
1.
Your full name 姓名
English
英文名
Chinese (use NA if you don't have one) 中文名
*
2.
Your department 部门
*
3.
Do you work at campus today? 今天是否在校园里上班？
Yes 是
No 否
查看答案
*
4.
Is there any sign of fever (body temperature ≥37.3 ℃), coughing and other respiratory symptoms?
有无发热、干咳等呼吸道症状？
Yes 有
No 无
查看答案
*
5.
Have you been in contact with any person who comes from medium or high-risk regions for the last 14 days?
14天内是否接触过来自中高风险地区的人
Yes 是
No 否
查看答案
*
6.
Where are you currently? 您当前所在的地区
In Shenzhen 深圳市内
Out of Shenzhen 深圳市外
查看答案
*
7.
In Shenzhen 深圳市内
Lockdown area 封控区
Control area 管控区
Prevention area 防范区
Normal 非以上地区
查看答案
*
8.
Proof of the message or notice from the authorities that you are living in the Lockdown area
封控区通知或证明截图
*
Proof of the message or notice from the authorities that you are living in the Control area
管控区通知或证明截图
*
Proof of the message or notice from the authorities that you are living in the Prevention area
防范区通知或证明截图
*
Out of Shenzhen 深圳市外
Been to high- or medium-risk regions since CNY 近14天曾处中高风险地区
Under group quarantine 集中隔离
In self-quarantine 居家隔离
Normal 非以上情况
查看答案
*
What city are you staying in now? 市外哪个城市
*
Did you leave Shenzhen during the last 14 days? 14天内是否曾经离深？
Yes 是
No 否
查看答案
*
When did you leave Shenzhen?
离深日期
*
What city have you been to since you left Shenzhen?
14天内途径城市或目的地
*
Have you been to any city that has medium or high-risk regions?
途径地是否有中/高风险地区
Yes 是
No 否
查看答案
*
When did you return to Shenzhen?
回深日期
*
Did you get NAT test within 48 hours upon the arrival in Shenzhen?
返深后有无48小时核酸
Yes 有
No 无
查看答案
*
Transport/ Reason of leaving Shenzhen
离深方式和离深原因
*
9.
Travel Card 行程码
*
10.
Color of Health Code 粤康码颜色
Green 绿色
Yellow 黄色
Red 红色
查看答案
*
11.
Health Code 粤康码
投票
投票