111.04.18 醫放系專題學術演講-Covid-19 Vaccination Survey
活動名稱：110-2 醫放系專題學術演講
活動時間：111年4月18日(一)下午13:30~15:20
活動地點：智耕樓4F階梯教室
題目：從台大醫院牙科部影像發展經驗談CBCT原理與臨床應用
講者：台大牙科部陳木熊放射師

根據學校防疫規定，主辦單位須於活動前了解參與者疫調資料。
請依照實際情形填寫 ，謝謝。
According to the TCUST's regulations, we need to survey the participant's vaccination status.
Please complete this form with correct information, thank you!
Email *
姓名 Name *
學號 Student ID *
講者、教師或職員請填身份即可
疫苗接種情形 Vaccination Status * *
在過去14天內，是否有接觸確診者或隔離者? In the last 14 days, did you close contact with confirmed cases or people who processed 14-day self-quarantine ? *
在過去14天內，你否有任何感冒或流感症狀(發燒、咳嗽、呼吸困難、極度疲憊、腹瀉、嘔吐、肌肉痠痛...等)? In the last 14 days, have you experienced any cold or flu-like symptoms (to include fever, cough, shortness of breath or difficulty breathing, extreme fatigue,diarrhea, vomiting, muscle pain, etc. )? * *
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