Check

Contact Form

Name*
姓名
Contact Number*
联络电话

Are you feeling unwell?
您身体有感觉不适吗?YesNo

Have you visited China in the last 14 days?
您过去十四天去过中国吗? YesNo

Did you have close contact with any person suspected with nVoC-19?
您是否与任何怀疑感染 nCoV-19冠状病毒疾病的人吗?YesNo

Body Temprature*
体温