居家檢疫紀錄表_學生(109.07起) Important Notice for Home Quarantine Record Sheet
1. 為有效阻絕嚴重特殊傳染性肺炎疫情擴大,請國外返台之學生進行居家檢疫。
To effectively prevent the spread of COVID-19, students returning from abroad shall go through home quarantine.
2. 請每日早、晚各量測體溫一次,並詳實記錄體溫及活動史。
Please take your body temperature twice a day, and keep a record of your body temperature and history of activity.
3. 請於每天中午12點前填寫早上量測之體溫,每晚8點前填寫晚上量測之體溫。
Please report your body temperature twice a day, one before 12pm and the other one before 8pm every day.
4. 請「居家檢疫」的同學14天不能外出,檢疫後須進行7天自主健康管理,外出務必配戴口罩,不要進入校園!
Student under home quarantine are not allowed to leave home for 14 days at any circumstances. After home quarantine, please go through self-health management for 7 days. During self-health management, please wear a mask all the time if you have to go out, and do not come to the campus.
填表人Your Name *
系別/年級Your Department/Year *
您的身份是? Nationality *
填表日期 Date *
MM
/
DD
/
YYYY
體溫量測時間 Time *
Time
:
體溫紀錄(°C) Temperature *
健康狀況 Physical condition *
Required
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