Tamu PT. Surya Pelangi Nusantara Sejahtera - Covid-19 Screening Survey
Terima Kasih telah mengikuti survey tamu PT. SPNS
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Email *
1. Nama : *
2. Perusahaan : *
3. Pernah ada riwayat demam? *
4. Sedang mengalami Batuk/ pilek/ nyeri tenggorokan/nyeri otot? *
5. Sesak nafas? *
6. Riwayat kontak erat pasien COVID-19? *
7.Pernah swab test / Antigen / PCR positif ? *
8. Keperluan ke PT. SPNS *
9. Bertemu dengan siapa di PT. SPNS
A copy of your responses will be emailed to the address you provided.
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