教職員工生健康風險評估表 / Student Health Risk Assessment Form
因應新冠肺炎疫情，請您每日早晚自主各量一次體溫，發燒定義為額溫37.5度或耳溫38度，若您測得體溫符合發燒定義，敬請填寫以下表單，並落實不上課，戴口罩及時就醫，若有疑問請撥電話向健康中心詢問。
In response to the new crown pneumonia epidemic, please take your own body temperature once a day, morning and evening. Fever is defined as the frontal temperature of 37.5 degrees or ear temperature of 38 degrees. If your measured body temperature meets the definition of fever, please fill out the form below, and implement it without class Seek medical treatment in time, if in doubt, please call the health center.
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班級 / Class *
Required
姓名 / Name *
前兩週，同住家人是否正在健康管理期間(可複選) / Whether any of the family members is on the health management program in this month (multiple options) *
Required
前兩週，是否曾與正在健康管理期間的朋友或同學接觸 / Wheather you have been in contact with a friend or classmate on the health management program this month? * *
Required
前兩週，家人、朋友、同學或同事是否有發燒呼吸道症狀(可複選) / Wheather any of your family members, friends, classmates, or colleagues had respiratory symptoms this month (multiple choices) *
Required
感恩您的誠實協助，讓台灣在防疫之路上，成為國際典範！
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