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基于留学生健康台账 Statistics of foreign students状况调查表

发布时间:2023-01-17 10:33:31 分类:其它

作者:在线调查 来源:www.epanel.cn

The survey is for statistical purposes only of our college and Your personal information will be kept strictly confidential and will not be disclosed.
我们进行本次网络调查问卷,请帮助我们填写。问题仅用于学术研究。非常感谢大家的配合。

Q1. 您的年龄在(单选题)

    Q2. 您的年级?(单选题)

      Q3. Name(填空题)

        Q4. Student type(单选题)

        • undergraduate

        • Master

        • Phd

        Q5. Student number(填空题)

          Q6. Passport number(填空题)

            Q7. Your dorm number(填空题)

              Q8. Do you feel stressed psychologically?(单选题)

              • Always

              • Occasionally

              • Never

              Q9. Do you have any of the following diseases?(多选题)

              • high blood pressure

              • diabetes

              • Heart diseases

              • kidney disease

              • None of above

              Q10. Do you currently have COVID-19?(单选题)

              • Under infection now

              • Have recovered just now

              • Have recovered long time ago

              • Not infected

              Q11. How many shots have you had against COVID-19?(填空题)

                Q12. Will you leave Nanjing on winter vocation?(单选题)

                • Yes

                • No

                • Already left

                Q13. When and will you leave Nanjing on winter vocation? If you won’t leave Nanjing, plz write no.(填空题)

                  Q14. 请写出您的意见与建议(填空题)

                    非常感谢您抽出宝贵的时间来完成这个问卷,感谢您对我们的支持和帮助!我们会抽奖赠送小礼品哦

                    客服电话

                    010-5751-7583