110學年第2學期東吳大學預防嚴重特殊傳染性肺炎「疫苗接種」調查表2022 Soochow University COVID-19 Vaccine Survey
各位師生大家好
一、新學期即將開始，因應COVID-19疫情，為維護師生健康，請於111年2月25日(五)前確實填報本表單，感謝您！本次調查所有填寫資料，僅供健康暨諮商中心及衛生單位防疫使用並於完成調查28日後刪除。
二、生病發燒不上班，不上課，如因發燒或疫情相關症狀請假，請登錄東吳大學APP「發燒檢疫健康關懷系統」。
三、請持續防疫好習慣，戴口罩、勤洗手、保持社交距離，減少出入人潮眾多場所並注意外食用餐規定，提升個人免疫力。疫情相關訊息及衛生教育請上疾病管制署全球資訊網COVID-19防疫專區：https://reurl.cc/73yX3d
四、如有任何或其他健康相關問題，請洽詢本校學生事務處健康暨諮商中心〈外雙溪校區分機7522~7523；城中校區分機2381~2382〉。

Dear All,
1.Respond to COVID-19 pandemic, to keep the health of all faculties and students, please fill in the form by Feb. 25th. Thank you. The personal information is only for prevention measures purpose, and will be delete after 28 days.
2.The one who has fever or gets a cold, please DO NOT come to school. If you need to take a leave because of the fever or any symptoms related to COVID-19, please log in “COVID-19 Healthcare System” through Soochow University’s App.
3.Please follow all the prevention measures: wear surgical masks; wash hands frequently; keep social distancing; prevent from going to public places; follow the rules in the restaurants; keep healthy life style. The latest information about COVID-19 please enter: https://reurl.cc/73yX3d
4.If you meet any other health related issues, please contact our Health and Counseling Center.
Soochow University (02)2881-9471
Waishuangsi Campus Ext.7522-7523
Down Town Campus Ext. 2381-2382
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1.姓名Name *
2.性別Sex *
3.聯絡手機Contact Cell-phone Number *
4.人事代碼或學號(兼任教職員無代碼請填西元八碼出生年月日、無學號者請填居留證號)  Personnel Code/ Student ID Number｛Part-time staffs please enter your AD year birthday(8codes)/Students without student ID number please enter ARC number｝ *
5.身分Identity *
6.【專兼任教職員及其他人員請填寫】單位Department(填寫工作單位或廠商名稱)｛Fill in working department; name of the contractor｝
7.【學生請填寫】 學院School
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8.您是否接受過新冠疫苗注射Have you ever received a COVID-19 vaccine? *
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