Registration / 登记 – Chinese

1. How are you today? Are you feeling feverish or do you have any fever symptoms? / 你今天好吗？有否感觉发烧？

2. Are you currently living with anyone under quarantine? / 目前你是否与正处于隔离期者同住？

3. Have you ever been tested positive for covid before? / 你有否曾经COVID-19测试为阳性？

4. Have you been in contact with a positive person? / 您是否與 COVID-19 陽性者接觸過?

5. Have you been in quarantine before? / 你之前有過隔離嗎？

6. If you have been in quarantine before, when did your quarantine end? (give the date) / 如果您之前曾被隔離，那麼您的隔離是什麼時候結束的? (請註明隔離結束的日期）

7. Do you know the name of the vaccine that you are going to receive today? / 你知道自己今天将接种哪种疫苗吗？

8. Is this your first dose or your second dose? / 你是来接种第一剂或是第二剂疫苗？

1st dose questions / 针对第一剂接种者之问题

  • Do you currently take any medications? / 目前你有否服用任何药物？
  • Are you taking any blood thinner medications (e.g aspirin or warfarin) / 目前你有否服用任何抗凝药物？（如aspirin or warfarin）
  •   If yes, when did you last consume the medication? / 如有，最近一次服用是在何时？
  •   Do you have any health problems? /  你有任何健康问题吗？
  •   Do you have any allergies to any type of food, medication or vaccines? / 你有对食物，药物或疫苗过敏吗？
  • For women – Are you currently pregnant or breastfeeding ? / 如你是女性，目前是否正怀孕或母乳喂养？

2nd dose questions / 针对第二剂接种者之问题

  • Do you currently take any medications? / 目前你有否服用任何药物？
  • After the first dose, were there any side effects that you experienced (e.g:difficulty in breathing, allergic reaction or any type of severe reaction). / 第一剂接种后有无任何副作用出现 (比如：呼吸困难，过敏反应或其他严重反应)？

Additional questions based on type of vaccine. / 针对不同种疫苗接种者之附加问题 

(Sinopharm) / (国药)

  • Do you have any chronic illnesses such as chronic heart failure ? / 你是否患有任何慢性疾病，比如慢性心衰？
  • Do you have any skin conditions such as eczema or psoriasis? / 你是否患有任何皮肤疾病， 比如湿疹或银屑病？
  • If yes do you use any steroids as medication ? / 如有，你是否在服用类固醇药物？
  • Have you ever experienced any seizures or have epilepsy before ? / 你是否有过痙攣发作或患过癫痫？