(April3rd)2014MBBSInternationalStudentsDailyHealthSurvey2014級臨床醫學（英文授課）健康信息每日調研1.你的學號YourStudents'ID()2.你的國籍YourNationality()3.上午11點體溫MorningBodyTemperatureat11:00AM：____________℃

下午16點體溫AfternoonBodyTemperatureat16:00：______________℃

晚上20點體溫EveningBodyTemperatureat20:00：______________℃4.你現在所在的位置Yourlocationnow○Inyourowncountryathome_________________*NameofCITY/STATE/PROVINCEwhereyouarenow○Inyourowncountrybutothercity_________________*NameofCITY/STATE/PROVINCEwhereyouarenow○InKunming,China_________________*Pleasefillinexactdetailedaddress○OutsideKunming,inChina_________________*NamesofCOUNTRYandCITYwhereyouarenow(Forexample:China,Beijing)○Otherplaces_________________NamesofCOUNTRYandCITYwhereyouarenow(Forexample:America,NewYork)5.今天是否有外出旅游或住宿？Doyouhaveanytraveloraccommodationoutsidetoday?○No○Yes_________________*Exactplaceofyourtravelandaccommodation.6.你所在的地區是否有病例？Isthereanysuspectedorconfirmedcasesinyourplacenearby?○Yes○No7.您的總體狀況Youroverall(physicalandmental)healthstatustoday○Iamhealthy.Nosymptons.○Ihavesymptons._________________*pleasespecify.8.您的家人健康狀況，是否有新冠肺炎相關癥狀？Thehealthstatusofyourfamilymembers.DotheyhaveCOVID-19related

symptons?○Theyarehealthy.Nosymptons.○Theyhavesymptons._________________*Pleasespecify.○Therearesuspected/confirmedcasesinmyfamily._________________*Pleasespecify.9.其他你想要上報的信息Otherinformationyouwanttoreport○None○Yes_________________Pleasedescribeyourproblemsorreque