國立體育大學 新冠肺炎本土案例足跡調查NTSU Health Care Form.In light of the outbreak of COVID-19, NTSU is concerned about the health of our faculty, staff, and students by knowing the contact histories.
中央疫情指揮中心公布確診個案可傳染期公共場所活動史如圖中所示,為避免社區傳播擴大,請有與確診者相同時間行徑至相同地點者,請進行自主健康管理"14日",自主健康管理期間嚴格執行全面配戴口罩、避免出入公共場所、包含校園。
To reduce or prevent COVID-19 community transmission, people who have been exposed to someone with confirmed COVID-19 at the same time should complete a 14-day self-health management. In addition, please wear a face mask all the time and avoid public places (including university campus) throughout the above-mentioned period.

自主健康管理期間如出現疑似症狀,應確實佩戴醫用口罩,儘速就醫並同步通知校方,且不得搭乘大眾交通運輸工具;就醫時主動告知接觸史、旅遊史、職業暴露及身邊是否有其他人有類似症狀;返家後亦應佩戴口罩避免外出,與他人交談時應保持1公尺以上距離!校園區請全程配戴口罩(含辦公室、教室)
If you have symptoms linked with COVID-19 during self-health management period, please wear a surgical mask correctly and seek medical care. Meanwhile, notify the primary care office of NTSU. When seeing a doctor, provide your travel history, occupation, contact history and cluster history. Also note that a probable case should not use public transportation. After returning home, you should also wear a mask, avoid going out and respect social distancing wherever possible.

"採檢後結果未出前屬管制個案,不得外出及搭乘大眾運輸工具"並主動通知健康中心!!
A probable case should stay at home and voluntarily notify the Health Center of NTSU while awaiting test results.

若有防疫相關問題請洽:
防疫專線:1922
桃園市政府衛生局:0800-033-355
健康中心:分機2015、2016
校安專線(夜間):0987-084-402
If you have any questions regarding the COVID-19 pandemic, please contact one of our primary care offices listed below:
CDC Infection Control Hotline: 1922
Department of Public Health, Taoyuan: 0800-033-355
Health Center of NTSU: 03-328-3201 ext. 2015 / 2016
Campus Security Hotline (available 24 hours a day): 0987-084-402

★請全校師生(含兼任教師/助理、外包廠商、餐廳人員、統一超商人員及社團老師等常駐人員)配合填寫。
All NTSU constituents, including full-time / part-time faculty, staff, outsourced employees and students, are required to complete the survey.

若中央流行疫情指揮中心新增其他染疫足跡,請有同時段同足跡重覆者,再次填寫。
People who have been to places visited by the confirmed cases at about the same time should fill out the form again to update the survey.
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1.請問您的活動接觸史為:(若勾選其他:請述明接觸時間、地點) Contact histories (If you tick other : please state the time and place of contact) *
Required
2.您的姓名 Full Name *
3.學號 (如教職員請寫"無") Student ID Number *
4.您的單位 / 系所年級(運技三系請加隊名) / 廠商 Department *
5.身分類別 Identity (可複選 Multiple response) *
Required
6.您的聯絡電話 Cell phone number *
7.電子郵件 E-mail *
8.您是否有於學校宿舍住宿 (請填房間號碼),若未住宿者請填"無" Do you live on campus? If yes, please fill in the dormitory room number, if not, please fill in "none" *
9.您是否有任何不適症狀? 請詳述,若無不適者請填"無" Do you have any symptoms of discomfort? If yes, please give details, if not, please fill in "none" *
請您注意!! 自主健康管理期間應佩戴口罩避免外出(亦不可出入校園)、與他人交談時應保持1公尺以上距離!! 自主健康管理期間如出現感冒不適症狀,應立即佩戴醫用口罩,儘速就醫,且不得搭乘大眾交通運輸工具;就醫時主動告知接觸史、旅遊史、職業暴露及身邊是否有其他人有類似症狀!! "採檢後結果未出前屬管制個案,不得外出及搭乘大眾運輸工具" If you have any symptoms or uncomfortable feelings linked with COVID-19, please call 1922, wear the surgical mask and go to the hospital immediately. At the same time, please also inform the NTSU Health Center. *
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