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)