GenSan COVID-19 Data Capture System
GENSAN COVID HOTLINES: 083-5523939, 0943-4614548, 09150648735
Based on the Proclamation No. 922 by the President of the Philippines declaring a state of Public Health Emergency throughout the Philippines due to COVID 19 local transmission, and Executive Orders No. 11 to 12 Series of 2020 by the City Mayor, Ronnel C. Rivera, the GenSan City Health Office is requesting everyone's vigilant support by reporting suspected cases in your school, company and immediate community. This will help our health personnel to assess and manage probable cases of COVID-19.
This online system will make critical information efficiently accessible to our City Health Office. Rest assured, all information shared will be treated as highly CONFIDENTIAL and proper information security protocols will be observed.
* Required
Email address
*
Your email
Reporting Person's Name
*
Your answer
Reporting Person's Mobile Phone
*
Your answer
Reported Person's Name
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Your answer
Nationality
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Filipino
American
Korean
Chinese
Australian
Japanese
Taiwan
Singaporean
Malaysian
Canadian
Indonesian
Other:
City/Municipality
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General Santos City
Sarangani Province
South Cotabato
Cotabato City
Other:
Barangay
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Apopong
Baluan
Batomelong
Buayan
Bula
Calumpang
City Heights
Conel
Dadiangas East
Dadiangas North
Dadiangas South
Dadiangas West
Fatima
Katangawan
Labangal
Lagao
Ligaya
Mabuhay
Olympog
San Isidro
San Jose
Siguel
Upper Labay
Tambler
Tinagacan
Sinawal
Other:
Purok (or nearest landmark to the where the reported person is located likechurch, school, prominent public/private establishments)
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Your answer
School/Company/Establishment
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Your answer
Is he/she experiencing flu-like symptoms? (Flu, cough, diarrhea, body pains, etc)
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Yes
No
Other:
Has he/she travelled outside of Gensan since January 2020?
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Yes
No
Other:
If yes, where?
Your answer
If yes, thru what travel means?
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Airplane
By private land vehicle
By bus or other public land vehicle
By boat
Other:
Required
Has he/she been exposed to anyone who travelled outside GenSan since January 2020?
Yes
No
Other:
Clear selection
If yes, from where?
Your answer
If yes, thru what travel means?
Airplane
Bus or other public land vehicle
Private Land Vehicle
By boat
Other:
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