The safety and protection of our team and our guests remain as the top priority of our company. We encourage you to join us to #StopTheSpread and reduce the potential risk of exposure to all. Please answer this form completely. Thank you.

本团队和客人的安全和保护仍然是本公司的重中之重。随着冠状病毒疾病的持续爆发，我们要求您帮助我们降低接触人的潜在风险。请完整地回答这张表格。谢谢您。

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<strong>Gender</strong> (性别)
Have you worked together or stayed in the same close environment of a confirmed COVID-19 case? (May nakasama ka ba o nakatrabahong tao na kumpirmadong may COVID-19 / may impeksyon ng coronavirus?) <br>您是否曾在同一间封闭环境中与确诊冠状病毒病例一起工作、逗留或居住？
Have you had contact with anyone with fever, cough, colds, and sore throat in the past 2 weeks? (Mayroon ka bang nakasama na may lagnat, ubo, sipon, sakit ng lalamunan o pananakit ng katawan o ulo sa nakalipas ng dalawang (2) linggo?)<br>您过去2周是否接触过任何发烧、咳嗽、感冒或喉咙疼的人?
Have you travelled outside of the Philippines in the last 14 days? (Ikaw ba ay nagbyahe sa labas ng Pilipinas sa nakalipas na 14 na araw?)<br>您过去14天有没有出菲律宾国
Have you travelled to any area in NCR aside from your home? (Ikaw ba ay nagpunta sa iba pang parte ng NCR o Metro Manila bukod sa iyong bahay?)<br>Have you travelled to any area in NCR aside from your home? (Ikaw ba ay nagpunta sa iba pang parte ng NCR o Metro Manila bukod sa iyong bahay?)
<strong>certification and data privacy content</strong><br>i hereby authorize HongKOng Date Chinese Restaurant to collect and process the data indicated herein for the purpose of effective control of the covid-19 infection. i understand that my personal information is protected by ra 10173, data privacy act of 2012, and that i am required by ra 11469, bayanihan to heal as one act, to provide truthfulinformation.