diarrhea or vomiting Р复发性严重的腹泻和呕吐□□РRecurring skin trouble Р复发性的皮肤病□□РRecurring boils, sties or septic fingersР复发性的疖子,或糜烂性手指□□РRecurring discharge from the ears, eyes, gums/mouth Р复发性的失聪,失明,龋齿,口中□□Р4 Please give details of any other medical problems which may effect your employment as a food handler, for example, recurring gastrointestinal disorder.Р请具体给出任何其他医疗问题,这些问题可能会影响你成为一个合格的食品类员工,例如,复发性的肠胃失调。□□Р5 Have you been abroad within the last 3 months? 最近三个月是否曾出国? □□РIf yes, where? 如果有,哪里? Р6 Please check the glass products such as glasses are damaged or not when entering ing out of the workshop.Р进车间、出车间随身带有玻璃制品者(如眼镜等)是否完好□□РI declare that all foregoing statements are true plete to the best of my knowledge and belief.Р我声明上述陈述均真实并尽我所知的完成此调查表。РSignature 签名:РDate日期:РApproved by 批准人: Position 职位:
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