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大学院大学
Health Report
1. Report date
*
Year
Year
2022
2023
2024
2025
2026
月
月
1月
2月
3月
4月
5月
6月
7月
8月
9月
10月
11月
12月
日
日
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2. Your name
*
First name Last name
3. Your e-mail address
*
4. Category of Student
*
- Select -
PhD student
Special Research Student
Research Intern (GS arranged)
Research Intern (host unit arranged)
Visiting Research Student
Science Communication Fellow
Family
Host Research Unit Professor
*
Rearch Unit Administrator(RUA)'s email address
*
Host student's name
*
5. Have fever of 37.5 ℃ or higher?
*
Yes
No
What's your temperature?
*
6. Have any symptoms of COVID-19 including cough, soar throat, respiratory symptoms, strong feeling of weariness (fatigue)?
*
Yes
No
Please write your symptom(s)
*
7. Action of the day *DO NOT go out unnecessarily
*
e.g. Went to the convenience store for grocery shopping
Leave this field blank