ABCDEFGHIJKLMNOPQRST
1
response no.Have you been exposed to someone possibly infectious with SARS.CoV.2 virus? When was the last time you learned that you have been exposed to person infected with SARS.CoV.2 virus?How many exposures you are aware of?Have you ever got infected with SARS.CoV.2 virus?When approximately have you got infected the 2nd time?When do you think you might have you got infected the first time?Could you have ever visited our clinic as already infected?What character of symptoms you had when you were possibly infectious on the visit?What level were these symptoms?Now when looking back, do you think you might have got infected during your visit in our dental clinic?As you admit the possibility of getting infected in our office, how do you recall your discipline in time around the visit:How many times have you visited our clinic during the last 18 months?Are you vaccinated?When approximately have you got your last shot of Vaccine?Your feeling of safety with our Bio-Safety protocol is on the level of:Submitted AtTokenLanguageDocument:
https://docs.google.com/document/d/14K-Nta9T1MOQHW-TwiFUUyMHrYw1_tHB5cMwhjHBoAs/edit?usp=sharing

Online formuláre:
SVK -
https://sangreazul.typeform.com/biosafety-SVK
ENG -
https://sangreazul.typeform.com/BioSafety-ENG
2
response no.Boli ste niekedy vystavení niekomu, kto by mohol byť infekčný s vírusom SARS.CoV.2? Kedy ste sa naposledy dozvedeli, že ste boli v kontakte s osobou infikovanou vírusom SARS.CoV.2?O koľkých expozíciách viete? (počas posledných 18 mesiacov)1 I was never infected for sure

2 I was probably infected, because I had antibodies (before vacc.)

3 I was infected only once (positive PCR/Antigen test)

4 I was infected more than once (positive PCR/Antigen test)

5 Other
Kedy približne ste sa druhýkrát nakazili?Kedy si myslíte, že ste sa mohli nakaziť prvýkrát?Mohli ste na niektorú z návštev na klinike prísť už ako infikovaný/á?
A I had no visible symptoms
B headache
C running nose
D light fever
E light cough
F sore throat
G pain of joints
H Other
Akej intenzity boli tieto príznaky?Teraz spätne, myslíte, že ste sa mohli nakaziť na našej klinike?Ako spätne pripúšťate, že ste sa mohli nakaziť na klinike, ako hodnotíte Vašu disciplínu v čase okolo tejto návštevy?Koľkokrát ste navštívili našu kliniku za posledných 18 mesiacov?A not yet
B not and I never will
C yes - Pfizer 2 shots
D yes - Pfizer with 3rd shot
E yes - AstraZeneca
F yes - Moderna
G yes - J&J / Janssen
H yes - Sputnik
I Other
Kedy ste približne dostali poslednú dávku vakcíny?Ako bezpečne sa cítite na klinike s aktuálnym Bio-Safety protokolom ?Submitted AtTokenLanguage
3
numberTRUE / FALSEdatenumberdatedatelevels 1(no) - 5(sure)levels 1(not visible) - 5(sure)1 - Certainly not!
3 - maybe
5 - Sure I've got it there
A No way I have got it on the way TO the clinic
B No way I have got it on the way FROM the clinic
C Few days after the visit I had no event where I could got it
D Other
1 - 10date1-5dateunique fingerprint to prevent repeated answers from the sameENG / SVK
4
0FALSE1 - I was never infected for sure3ešte nie412/2/2021 14:51:50ih8w4z92wvmaebih8zz761tbrdri0zxqENGduplicated submission, not counted
5
0TRUE8/9/202111 - I was never infected for sure3áno - Pfizer 2 dávky2/5/2021412/1/2021 7:20:55ix4xds29tkv1f5hjwix4xdl54i38jvkzSVKduplicated submission, not counted
6
0TRUE8/1/2021viac než 5
2 - I was probably infected, because I had antibodies (before vacc.)
4/1/20205headache, I had no visible symptoms216áno - J&J / Janssen9/1/2021512/10/2021 4:26:41jutwyjk4ki1w6rulju5ltp2mpkaiu3g4SVKduplicated submission, not counted
7
1FALSE1 - I was never infected for sure3not yet412/2/2021 14:44:50ih8w4z92wvmaebih8zz761tbrdri0zxqENG
8
2FALSE1 - I was never infected for sure3yes - Pfizer 2 shots5/4/2021412/1/2021 7:36:282o8zx6ff5k0iv44w72vc2o8zx6ff5rs5ENG
9
3FALSE1 - I was never infected for sure4
yes - Pfizer with 3rd shot
11/30/2021512/2/2021 15:05:593c8v5z054tnpryu08z3c8v5ebrucn14dENG
10
4TRUE11/30/202011 - I was never infected for sure4yes - Moderna11/15/2021512/2/2021 16:41:185jmsvhet3a9a22zqv95jmsoc0dosfjs5ENG
11
5TRUE11/20/202021 - I was never infected for sure3yes - Moderna10/10/2021512/2/2021 16:41:183c8v5z253a9a22zqv95jmsoc03c8v5zENG
12
6FALSE1 - I was never infected for sure5yes - Pfizer 2 shots6/21/2021512/8/2021 9:44:067ognm0bzoa8z8l087ogn9fh065lbhho8ENG
13
7TRUE10/12/202131 - I was never infected for sure2
yes - Pfizer with 3rd shot
12/6/2021512/10/2021 4:21:03yx63d8cb7d97kbn1702t33yx63d8cou6ENG
14
8TRUE10/12/202133 - I was infected only once (positive PCR/Antigen test)1/5/20211110
yes - Pfizer with 3rd shot
1210/2021412/10/2021 4:21:03xx63d8cb7d97kbn1701t33yx63d8cou9ENG
15
9TRUE8/9/202111 - I was never infected for sure3yes - Pfizer 2 shots2/5/2021412/1/2021 7:20:55ix4xds29tkv1f5hjwix4xdl54i38jvkzSVK
16
10TRUE1/1/000144 - I was infected more than once (positive PCR/Antigen test)1/11/01111/1/00012 pain of joints31
Few days after the visit I had no event where I could got it
3
yes - Pfizer with 3rd shot
1/1/0001412/1/2021 7:29:023ah5wyplbbad06z3ah5whilcjh7igjrySVK
17
11TRUE34 - I was infected more than once (positive PCR/Antigen test)111
yes - Pfizer with 3rd shot
212/1/2021 7:32:10xmihcrv9c05ix87bm7m7gd4qxmihcrvoSVK
18
12FALSE1 - I was never infected for sure3yes - Pfizer 2 shots5/5/2021412/1/2021 7:36:08rbvdepzfdgqyvrbvdezmrl13za46i8ahSVK
19
13TRUE4/15/20212
2 - I was probably infected, because I had antibodies (before vacc.)
3/10/20203running nose23
No way I have got it on the way FROM the clinic
4
yes - Pfizer with 3rd shot
10/14/2021512/1/2021 18:56:34538wcw36eyifezd5388zgwmqfezv7ndkSVK
20
14FALSE1 - I was never infected for sure3yes - Pfizer 2 shots5/19/2021512/2/2021 8:13:29h2weq2orehwg7jbfh2weq2ud6hwr9bidSVK
21
15TRUE11/8/2021more than 53 - I was infected only once (positive PCR/Antigen test)11/17/20212I had no visible symptoms115yes - J&J / Janssen8/7/2021512/2/2021 8:13:38fi92vfr1y8l115qu5zxfi92vql762jwgSVK
22
16FALSE1 - I was never infected for sure6yes - Pfizer 2 shots9/27/2021312/2/2021 8:43:27yubmclzlxycnynkzkyubmclowk1ob35pSVK
23
17TRUE1/5/202133 - I was infected only once (positive PCR/Antigen test)1/5/20211110yes - Pfizer 2 shots2/5/2021512/2/2021 8:55:12yj4ox6pyid0anid6ie8njyj4ox6pjh8nSVK
24
18TRUE4/1/202111 - I was never infected for sure10
yes - Pfizer with 3rd shot
11/25/2021512/2/2021 9:47:5797p3rry35zx9c4ohhxzg97p3rrk2qd1rSVK
25
19FALSE1 - I was never infected for sure8yes - Pfizer 2 shots6/20/2021512/2/2021 10:52:42rwqtail3f9srmst9irztrwqtaiea68erSVK
26
20FALSE1 - I was never infected for sure3yes - Pfizer 2 shots8/19/2021312/2/2021 13:12:53gufwwnd984yjvi9ngufbhv7pj06l12xzSVK
27
21FALSE1 - I was never infected for sure8yes - AstraZeneca7/27/2021512/2/2021 13:38:11acsiioy4833xn1c2ubltyjhlacsiioy4SVK
28
22FALSE1 - I was never infected for sure2yes - Pfizer 2 shots7/6/2021412/2/2021 13:59:10aezoe5iw0zo1wx2x7saezoe5ze17w4soSVK
29
23FALSE
2 - I was probably infected, because I had antibodies (before vacc.)
2110
yes - Pfizer with 3rd shot
11/27/2021512/2/2021 13:59:24y04igxkww33baw0zo0jy04igsfqwrvuhSVK
30
24TRUE11/15/2021more than 53 - I was infected only once (positive PCR/Antigen test)11/11/20203I had no visible symptoms1210yes - Pfizer 2 shots2/18/2021512/2/2021 14:12:1665usd3bvufqgwrx5jm6p65usd26i0qc0SVK
31
25TRUE21 - I was never infected for sure2yes - Pfizer 2 shots6/1/2021412/2/2021 14:14:59clhjfwynm968ccrp4v8uiqclhjfwynm2SVK
32
26FALSE1 - I was never infected for sure4yes - Pfizer 2 shots6/11/2021512/2/2021 14:16:547u8y08pp7fnhy7u8pj5cs5ri159f7dznSVK
33
27TRUE1/20/2020more than 51 - I was never infected for sure5yes - Moderna3/19/2021412/2/2021 14:18:26fnd5bsehso4y6ejaavfnd5bsecqtvfp5SVK
34
28TRUE12/2/202013 - I was infected only once (positive PCR/Antigen test)12/2/2020113yes - Pfizer 2 shots10/8/2021512/2/2021 14:21:52cztntnql6r6xtiabkotcztntnw2pu0ceSVK
35
29FALSE1 - I was never infected for sure1yes - Pfizer 2 shots6/4/2021512/2/2021 14:32:43j58ubxjjhionxw1m7j58uq33koof8am9SVK
36
30TRUE10/1/202121 - I was never infected for sure6yes - Moderna7/9/2021512/2/2021 14:35:284b8b74cy9r3ekykj4b8b7kbwax4qxubzSVK
37
31TRUE12/14/202013 - I was infected only once (positive PCR/Antigen test)1/3/20211110yes - Pfizer 2 shots6/12/2021512/2/2021 14:37:03a9f6jwbqhzqhaqq2pa9f6jjricrvfncwSVK
38
32FALSE1 - I was never infected for sure4not and I never will512/2/2021 14:40:53zkvgo4fdi8q2f511xh8zkvgogt23wumaSVK
39
33FALSE3 - I was infected only once (positive PCR/Antigen test)7/23/20201110yes - Pfizer 2 shots8/20/2021512/2/2021 14:46:58y8897uvwt3psy889k0efqjylb07qok0xSVK
40
34TRUE11/1/202123 - I was infected only once (positive PCR/Antigen test)12/28/2020115yes - Pfizer 2 shots7/17/2021512/2/2021 14:53:34s4ydot4lr90qda3yk6ns4ydot4dppb32SVK
41
35TRUE11/5/2021more than 54 - I was infected more than once (positive PCR/Antigen test)2/1/20217/1/2020117
yes - Pfizer with 3rd shot
11/20/2021512/2/2021 15:01:0273xrnp9pqmm0ju3h5a73xs8txwmt88h1SVK
42
36FALSE1 - I was never infected for sure6yes - AstraZeneca6/1/2021312/2/2021 15:16:01od9ozo9krgyl77nka3emg9iod9ozo9jfSVK
43
37TRUE12/2/202141 - I was never infected for sure10yes - Pfizer 2 shots3/10/2021512/2/2021 15:17:30sucs7floornxapbjclqsucs7ibeeiyycSVK
44
38TRUE11/27/2021more than 53 - I was infected only once (positive PCR/Antigen test)9/16/2020118yes - Pfizer 2 shots1/29/2021512/2/2021 15:53:148h82jrsxgpfzbf5pij28h829w6i1v4uuSVK
45
39FALSE1 - I was never infected for sure2yes - Pfizer 2 shots6/22/2021512/2/2021 15:53:20cehg9uv582gfuc43ceu3bb8s3ta4ivh8SVK
46
40TRUE11/1/2021more than 53 - I was infected only once (positive PCR/Antigen test)9/7/2020112not yet512/2/2021 15:54:47dwbrpqf1xclzhdndwbxmoc9fvw7i8i0rSVK
47
41TRUE23 - I was infected only once (positive PCR/Antigen test)9/9/2020112not yet512/2/2021 15:57:088o4nf5p2ak6gyanwyhzu8o4nfk0jo9eeSVK
48
42TRUE11/15/202133 - I was infected only once (positive PCR/Antigen test)8/28/20202headache213yes - Pfizer 2 shots7/4/2021512/2/2021 16:02:06nzigx73jqgfwv39jnzigx6wgau02di2kSVK
49
43TRUE11/29/202131 - I was never infected for sure6yes - Pfizer 2 shots6/22/2021512/2/2021 16:36:27w7geoi4exbkput3w5hdngw7geclxwk0uSVK
50
44TRUE10/14/2021more than 51 - I was never infected for sure5not and I will never will512/2/2021 16:41:03ua4td3fgrth5tsj66ua4trdty9fpxwpwSVK
51
45TRUE10/2/202043 - I was infected only once (positive PCR/Antigen test)10/26/2020112not yet512/2/2021 17:17:00ife3oagslrq20k7ife3r1tgt0zv98tnrSVK
52
46FALSE1 - I was never infected for sure10yes - Pfizer 2 shots6/6/2021412/2/2021 17:31:43eu253uw04t6hh7uunebtudodhy9j4bbtSVK
53
47TRUE2/1/202133 - I was infected only once (positive PCR/Antigen test)2/1/2021114yes - J&J / Janssen9/21/2021512/2/2021 17:56:07mlfi9us1muy01ju3hsfmlfi92ava95bwSVK
54
48FALSE3 - I was infected only once (positive PCR/Antigen test)2/2/2021115yes - Pfizer 2 shots6/1/2021512/2/2021 18:03:33u2xkbs3cdrnnkazyphtu2xkbarzzxon0SVK
55
49FALSE1 - I was never infected for sure3yes - Pfizer 2 shots6/13/2021312/2/2021 18:12:414chb49axns6ca5jzg907bp4chb49aqopSVK
56
50FALSE1 - I was never infected for sure1not yet512/2/2021 18:15:1065neq137cztd4202xhjs5eq65neq151dSVK
57
51TRUE11/17/202011 - I was never infected for sure2yes - Pfizer 2 shots7/5/2021512/2/2021 18:15:4641z6tpw2qdhpg1br4f9e41z6tptlslzrSVK
58
52TRUE11/22/2021more than 51 - I was never infected for sure10not yet512/2/2021 18:18:09i0rw9wptoegqjelvi0rw9ezebbbqa0ikSVK
59
53TRUE7/13/202123 - I was infected only once (positive PCR/Antigen test)9/25/2020113
yes - Pfizer with 3rd shot
11/19/2021512/2/2021 18:21:15kvsztk72s1aciekq9zqkvszejoctudhkSVK
60
54FALSE1 - I was never infected for sure8
yes - Pfizer with 3rd shot
11/12/2021512/2/2021 18:23:3464nuyoyon2rv9ggxa9sms64nuyotd4nvSVK
61
55TRUE3/3/2021more than 53 - I was infected only once (positive PCR/Antigen test)3/3/2021111yes - J&J / Janssen9/9/2021312/2/2021 18:25:06c4u9oul04fkl4xwo8fnp2g0b2c4u9ou9SVK
62
56TRUE11/29/202123 - I was infected only once (positive PCR/Antigen test)2/8/2021115not yet512/2/2021 18:27:266bwoe9236v1s6mn6r5636bwoe9g8ceopSVK
63
57FALSE1 - I was never infected for sure8yes - Pfizer 2 shots7/14/2021512/2/2021 18:31:57e519vp5vzgu4zvjge519vmou44qf5y31SVK
64
58FALSE1 - I was never infected for sure6yes - AstraZeneca5/2/2021512/2/2021 18:34:237pujkqqa9gyvy4jpe1dx7pujkqelddboSVK
65
59TRUE10/10/202111 - I was never infected for sure9yes - Pfizer 2 shots6/30/2021512/2/2021 18:35:29sggiflzqt194t9bu7jmzssggiflzqo9hSVK
66
60TRUE12/24/202011 - I was never infected for sure4
yes - Pfizer with 3rd shot
11/20/2021412/2/2021 18:41:13g1x9hydmmpw5g6g1x9hyd00vkxtuza9dSVK
67
61FALSE1 - I was never infected for sure10yes - Pfizer 2 shots10/22/2021412/2/2021 18:44:50nqz376d0w1wg0c08ynqz3qsqadpeoodaSVK
68
62FALSE1 - I was never infected for sure5yes - Pfizer 2 shots9/19/2021412/2/2021 18:53:01bupioax213uvo5mzg5kktyjjbupioaynSVK
69
63TRUE11/12/202123 - I was infected only once (positive PCR/Antigen test)11/18/2021115yes - AstraZeneca8/1/2021512/2/2021 19:02:08klhlx33wa4830klhltukig5auposegajSVK
70
64TRUE11/1/202133 - I was infected only once (positive PCR/Antigen test)2/12/2021114yes - Pfizer 2 shots8/3/2021412/2/2021 19:08:589xembkcoxbm6jln1lop9xem41ag54jrjSVK
71
65TRUE10/26/202111 - I was never infected for sure3yes - Pfizer 2 shots6/5/2021412/2/2021 19:11:06c249aa75rs2q4xrvc249aawcovwjxlv2SVK
72
66TRUE11/30/202141 - I was never infected for sure6yes - AstraZeneca6/11/2021512/2/2021 19:23:398yacfeem2u2yi5o158yacfea2cf28i1aSVK
73
67FALSE1 - I was never infected for sure7yes - Pfizer 2 shots6/29/2021512/2/2021 19:41:51ppeoaa7pyqaqmjlyfm208ppeoaa7pybqSVK
74
68TRUE3/5/202111 - I was never infected for sure4yes - Pfizer 2 shots7/15/2021512/2/2021 19:48:1029xj84prka41v0rxb07n629xj84p62ahSVK
75
69TRUE11/12/2021more than 53 - I was infected only once (positive PCR/Antigen test)12/18/2020114not yet512/2/2021 19:52:022lz74g0xq06okxzx2lz7q0viz4sk0vflSVK
76
70FALSE3 - I was infected only once (positive PCR/Antigen test)2/11/2021115yes - Pfizer 2 shots9/7/2021512/2/2021 19:52:37n4je9dbl641zqeh1wxn4jesta1xvh9qfSVK
77
71TRUE10/1/202121 - I was never infected for sure4yes - Pfizer 2 shots9/10/2021512/2/2021 19:56:549mqp8z23arc4qhk9mqprnrhpzkcn13hlSVK
78
72TRUE11/23/202121 - I was never infected for sure1yes - Pfizer 2 shots7/1/2021512/2/2021 20:04:10uvp6v5529kdgiq5lqio7yuvp6v54v4pxSVK
79
73TRUE10/30/202121 - I was never infected for sure5
yes - Pfizer with 3rd shot
9/30/2021512/2/2021 20:07:329tlpcmhyiwcnltb1mvb65z9tlpcmhp84SVK
80
74TRUE2/1/202113 - I was infected only once (positive PCR/Antigen test)2/1/2021115yes - Pfizer 2 shots6/15/2021512/2/2021 20:16:030ez2itvybm0f360wp0ez2ix49d0vr7c9SVK
81
75FALSE1 - I was never infected for sure2yes - Pfizer 2 shots6/12/2021512/2/2021 20:27:43ll51y223lh8lmnuhpzll504unlh2r6kySVK
82
76FALSE1 - I was never infected for sure9yes - Pfizer 2 shots6/21/2021512/2/2021 20:39:46bcwjtdo22xsayl75bc7jg1neld97ewsbSVK
83
77FALSE1 - I was never infected for sure5yes - Pfizer 2 shots11/12/2021512/2/2021 20:52:1431vt3cvslumzfp6d31vt3caiixdousjcSVK
84
78FALSE1 - I was never infected for sure2yes - Moderna6/18/2021312/2/2021 20:56:27mzmr25c8afpzmlkmzaftf0xxgm0n74fbSVK
85
79FALSE1 - I was never infected for sure10not yet512/2/2021 21:24:280kuzy5aejl3j4342gsfz5t0kuzy5pdhlSVK
86
80FALSE3 - I was infected only once (positive PCR/Antigen test)11/29/2020111yes - Pfizer 2 shots6/4/2021412/2/2021 21:56:19w50s2sbfbflhrxk1h9w50s2s2m8czsodSVK
87
81FALSE1 - I was never infected for sure0not yet312/2/2021 22:21:28n1pps5dkcf1dt1gy1n1pps6pdijrifewSVK
88
82FALSE1 - I was never infected for sure2yes - Pfizer 2 shots4/30/2021212/2/2021 23:27:485mgauup4inu21vy8mp050m5mgauupzctSVK
89
83TRUE11/8/202121 - I was never infected for sure3yes - Pfizer 2 shots6/16/2021512/2/2021 23:38:02rcqtkuktf4rkrm97ks0krcqtk99b9u7sSVK
90
84TRUE11/18/202121 - I was never infected for sure1yes - Pfizer 2 shots8/3/2021512/2/2021 23:41:11j5jmydbnhd8nkz26j5jg6988ohvken0vSVK
91
85FALSE1 - I was never infected for sure10
yes - Pfizer with 3rd shot
11/2/2021512/3/2021 5:48:202t0zugzonirdo6hqo082t0zu0vl1uadjSVK
92
86FALSE1 - I was never infected for sure3not yet512/3/2021 6:53:46r5nh3exab2zwns25241kr5nh3vk57jaeSVK
93
87TRUE1/4/202111 - I was never infected for sure5yes - Pfizer 2 shots6/22/2021512/3/2021 7:57:31gkxdnpmydbkfpjdfrooegkxdn7a9sw7fSVK
94
88FALSE1 - I was never infected for sure5yes - Pfizer 2 shots6/19/2021312/3/2021 8:41:287s838bv6kbt387y7s8k9dgg86md75q92SVK
95
89FALSE1 - I was never infected for sure10yes - Pfizer 2 shots6/21/2021512/3/2021 9:01:04meota7cvoigah75lyhkmeotn26kqmao6SVK
96
90FALSE1 - I was never infected for sure4not yet412/3/2021 9:48:56kqyk6xy6tncecshi4xptkqyk6x3g3sjsSVK
97
91TRUE12/28/202011 - I was never infected for sure3yes - Pfizer 2 shots6/20/2021512/3/2021 10:21:25zhk90vi7o4zlqn0u5jgszhk90vfprysmSVK
98
92TRUE11/2/202123 - I was infected only once (positive PCR/Antigen test)11/10/2021113
other - overcame the disease
412/3/2021 10:58:00zs71lsls4o9rh02mzm9ju30d2rzsc1mfSVK
99
93FALSE1 - I was never infected for sure6not yet412/3/2021 11:00:3111i6us7cxzry9q0rdx11i6usn20q23noSVK
100
94FALSE1 - I was never infected for sure8yes - Pfizer 2 shots7/3/2021512/3/2021 11:51:59j27l507e5clhfwc18j27lbiyxdizajdfSVK