ࡱ> BDA RHbjbj9"   SS8$74DkkkkkE!#\-SSkkT///SRkk///"Lki0sdx0 ,C$C$LC$L,/C$  : Health Check Sheet Day 1 Time:Day 2 Time:Day 3 Time:Day 4 Time:Day 5 Time:Day 6 Time:Day 7 Time:Temperature (morning)!!!!!!!Temperature (afternoon)!!!!!!!Temperature (evening)!!!!!!!Chills or shiversYes000NoYes000NoYes000NoYes000NoYes000NoYes000NoYes000NoNasal discharge or nasal congestionYes000NoYes000NoYes000NoYes000NoYes000NoYes000NoYes000NoSore throatYes000NoYes000NoYes000NoYes000NoYes000NoYes000NoYes000NoCoughYes000NoYes000NoYes000No&(*,.68DFNPZ\^fhrtv~ƽqq_q_q_q_#h?)h?)CJOJPJQJaJo(h.hCJOJPJQJaJo(#h?)h?)CJOJPJQJaJo(h?)CJOJPJQJaJo(hh?)CJOJQJaJhh?)CJOJQJhh?)CJhx:h;RCJOJQJaJo(hx:h;RCJOJQJaJh?)h;RCJPJo(hx:h;RCJ(OJQJaJ(%&(,.:FR^jv$$/&P#$/Ifa$gd?)l $$/&P#$/Ifa$gd?)l dG$WDd`gd;Rgd?) $WDd`a$             " P R T V X Z \ ^ ` b d f h j l n p źœŪœœhh?)CJaJhh?)CJaJo(hh?)CJOJQJaJo(hh?)CJaJhh?)CJOJQJaJhh?)CJo(#h?)h?)CJOJPJQJaJo(h.hCJOJPJQJaJo(:      " R V Z ^ b f j n p FfFf$$/&P#$/Ifa$gd?)l $/&P#$/Ifgd?)l Ff   & 8 J \ ^ Ff $$/&P#$/Ifa$gd?)l $/&P#$/Ifgd?)l FfP $$/&P#$/Ifa$gd?)l     $ & 6 8 H J Z \ ^    $ & ( > @ F L P R X ^ b d t v %h?)CJOJPJQJ^J_H aJ3o($hh?)CJOJQJ^J_H aJ3hh?)CJo(hh?)CJaJo(hh?)CJaJhh?)CJOJQJaJo(hh?)CJOJQJaJ<^   & ( @ R d v $/&P#$/Ifgd?)l Ff$$/&P#$/Ifa$gd?)l $$/&P#$/Ifa$gd?)l  $&68HJLr$&(,.248:@FHʿٮh;Rh_fjh_fUhh;RCJaJ$hh;RCJOJQJ^J_H aJ6hh;RCJOJQJaJUhh?)CJaJhh?)CJOJQJaJhh?)CJo(hh?)CJaJo(hh?)CJOJQJaJo(& &8JL&*,0268<>@dG$WDd`gd;RFf$$/&P#$/Ifa$gd?)l $/&P#$/Ifgd?)l FfYes000NoYes000NoYes000NoYes000No*Please keep daily records of your body temperature and check yourself for any of the symptoms listed below.     @BDFHdG$WDd`gd;R7&P 1 2P0A .!5"5#$n%S $$If!vh50 5555555#v0 #v:V ci t 6P/0,50 5yt?)kd$$Ifciִ iX$*1G80  t 6P/0    44 layt?)$$If!vh50 5555555#v0 #v:V cA t 6P/0,50 5yt?)kd$$IfcAִ iX$*1G80  t 6P/0    44 layt?)$$If!vh50 5555555#v0 #v:V cN t 6P/0,50 5/ yt?)kd$$IfcNִ iX$*1G80  t 6P/0    44 layt?)$$If!vh50 5555555#v0 #v:V cK t 6P/0,50 5yt?)kdr$$IfcKִ iX$*1G80  t 6P/0    44 layt?)$$If!vh50 5555555#v0 #v:V cI t 6P/0,50 5yt?)kd> $$IfcIִ iX$*1G80  t 6P/0    44 layt?)$$If!vh50 5555555#v0 #v:V cF t 6P/0,50 5yt?)kd $$IfcFִ iX$*1G80  t 6P/0    44 layt?)$$If!vh50 5555555#v0 #v:V cE t 6P/0,50 5yt?)kd$$IfcEִ iX$*1G80  t 6P/0    44 layt?)$$If!vh50 5555555#v0 #v:V cB t 6P/0,50 5yt?)kd$$IfcBִ iX$*1G80  t 6P/0    44 layt?)j 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ OJPJQJ_HmH nHsH tHN`N jn $1$a$$CJKHPJ_HaJmH nHsH tH$A $ k=0000Ji@J jnn0h :V 4 l4a _H$k $000j0W0 << 9TM0QW0CJOJPJQJ^JaJBB  9TM0QW0 (eW[)CJOJPJQJ^JaJ2"2 0000 8!G$*1*  0000 (eW[)2 B2 0000 8!G$*Q*  0000 (eW[)2Ua2 0000000 >*B*ph(q( wordlinkPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!{oRtheme/theme/theme1.xmlYMoE#F{oc'vGuرhF[xw;jf7H\qTj%.H 3މJR">$g_ fIyk"mΰiCR$'MmU"^T$}X2OI\Xn̖kեC }t|ko#gc%QR/L 4y2`r*L ʼn$IHv#∹ppH~ ]w/cQ$C:riiio6;wQ*ȁS !aq!Y7L_Oq U{n зUw4vB*71eF8NDe{rB]; ~Bwߥq fLD(NiwNŕc(/z\oj!.5%'OEEE@'.0okV(rؑ xL)#7%z9⼔F5.ANa{H(3ҡD)p3˕5FteM}\@bSAAt=sF+Y\Ɉگì:3͔:[2p^5X,  't&@- "d>znNJة>❲&7I𱹍r/<ȒrrVs!mo 'Zug>Baj2,y+&A.)v@*2a^e!ʿ^6_C5M Z2_]ZѶY)E шMP}*jTh[+]],pVnul& SI<ЭRvU1)A'pShp+0P*F LhXx A 9Kä5 ЏT$مdbwY,#d"$L#r@PU=Aj;sAP9|sjH{mӓMfPʭf_XU~=eE٘ȳZA+KᜭV9pyaRA?*|FL:{P[̠A@T_.`p64)kltV˛O֒4v1\Hcgvlm<{2Eaidc̏Zߜ>8z n'LIL0zL@[f_PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!{oRtheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] PP "  H  ^ @H `  C 7""7""@ 0(  B S  ?H0(  ei ")+XZacjlsu|~ "ek@ALMXYde/C&"(.4:@FLRX^djll&&KSj6 ^`OJPJQJ^Jo(; a\a^a`\OJQJo(hH\^`\OJQJo(hH\^`\OJQJo(hHlM \M ^M `\OJQJo(hH \ ^ `\OJQJo(hH \ ^ `\OJQJo(hHl9\9^9`\OJQJo(hH\^`\OJQJo(hHKSj         ?);RPxc.h_f@(hh hUnknown G* Times New Roman5Symbol3. * ArialG j-3 fgMS MinchoC ArialMTArial7CenturyK MS Gothic-3 0000;WingdingsA BCambria Math 1HhFZBFFF/b1b3!3!%),.:;?]}  0 2 3 !000 0 0 00000000000 =]acde$([\{  0 0 0000;[b5id2QHX'0A2!xx0^V,{ev Hippocratesyou-kido Oh+'0  0 < H T`hpxAP Hippocrates Normal.dotm you-kido19Microsoft Office Word@ِ@D2G@6v@0b1՜.+,0  hp|    AP AP  ^CgTitle  !"#$%&'()*+,-./02345678:;<=>?@CRoot Entry F