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Ruta del Colesterol - D. 26
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Nombre / Name
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Apellido / Surname
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Núm. teléfono / Phone number
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¿Has tenido algún contacto con positivos o sospechosos de ser positivos en los últimos 14 días? / Have you had any contact with positives or suspected positives in the last 14 days?
Sí / Yes
No
Maybe / Tal vez
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Terms and Conditions / Términos y condiciones
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He leído y acepto los términos y condiciones. / Have read and accept the terms and conditions.
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