PHILRADS
Philippine Relief and Development Services Inc.
Menu
PHILRADS UPDATES
Home
About
Leadership
President
THE TEAM
Our Partners
DONATE
DONATE VIA GCASH
Donate Via Bank Deposit (Union Bank)
Donate Via Bank Deposit (BDO)
Covid-19 Survey
Posted on
16 Apr 2020
by
evangelicalcenterph
Leave a Comment
Full Name
Mobile Phone Number
Address Line 1
Address Line 2
E-Mail
Gender
Male
Female
Do you currently have fever reaching 38°C?
Yes
No
Do you have a sore throat?
Yes
No
Do you have a cough
Yes
No
Do you have a cold?
Yes
No
Do you find it difficult to breathe
Yes
No
Have you been suffering from stomach pain or Diarrhea ?
Yes
No
Have you been feeling nauseous and/or vomiting?
Yes
No
Did you travel abroad in the past 14 days?
Yes
No
Have you had interaction with confirmed CO-VID-19 patients?
Yes
No
Submit
Share this:
Twitter
Facebook
Like this:
Like
Loading...
Category:
Uncategorized
←
“There is no better way to express our faith but thru serving others”
“If everyone helps to hold up the sky, then one” person does not become tired.
→
Leave a Reply
Cancel reply
%d
bloggers like this: