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Honu Honu Divers
Confirmation about COVID-19
Please answer honestly as it concerns your body and safety.
First name
Last name
Age
Name of tour applicant
First date of tour
Participating Tour
Diving
Snorkel
Other tour
Have you ever had COVID-19 before?
YES、I have tested positive
NO
【People who tested positive】
When was the most resent positive?
What were your symptoms at the time?
No Symptoms
Had mild symptoms
【People who had symptoms】
Fever(38℃/100℉ or more）
Sore throat,Bronchial discomfort
Fatigue
Continued coughing.
Shortness of breath
Loss of taste or smell
Hospitalized or Oxygen inhalation
Other physical anomalies
Did you have any aftereffects after going from positive to negative?
プライバシーポリシー
I confirmed privacy policy (プライバシーポリシー確認しました）
メモ:
*
は入力必須項目です
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