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臺北市立石牌國民中學教職員工自主健康管理登記表
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每日2次量測
姓名
*
Your answer
測量日期
*
MM
/
DD
/
YYYY
Time
:
AM
PM
測量方式
*
額溫
耳溫
腋溫
體溫度數
*
Your answer
是否有下列症狀(可複選)，若沒有請勾選無(若有下列症狀請配戴口罩)
*
無
發燒(37.5度以上，請儘速就醫適度休息)
咳嗽
流鼻水
嘔吐
腹瀉
嗅味覺喪失
Other:
Required
承上，若有其他症狀或說明，請於此欄說明，無則不需填寫
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