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Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. X
Health Checklist
Employee ID
YOUR ID DOESN'T EXISTS.
Check ID
FullName
Email
Position
Office
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IMSD
ORD
MALSU
TSSD
Cagayan de Oro Field Office
Misamis Oriental Field Office
Misamis Occidental Field Office
Lanao Del Norte Field Office
Camiguin Field Office
Bukidnon Field Office
Body Temperature
1. Are you experiencing Fever?
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Yes
No
2. Are you experiencing Body Pain?
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Yes
No
3. Are you experiencing Cough and/or colds?
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Yes
No
4. Are you experiencing Sore throat?
-- Please Select --
Yes
No
5. Have you had face-to-face contact with a probable or confirmed COVID-19 case within 1 meter and for more than 15 minutes for the past 14 days?
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Yes
No
6. Have you had any contact with anyone with fever, cough, cold and sore throat in the past 2 weeks?
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Yes
No
7. Have you traveled outside of the Philippines in the last 14 days?
-- Please Select --
Yes
No
Submit Checklist