Study on SARS-CoV-2 Antibody Titer Measurement in Human Serum and Utilization of the Result

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Thank you for your participation in the "Study on SARS-CoV-2 Antibody Titer Measurement in Human Serum and Utilization of the Result". Please answer the following questionnaire as part of the research. Please note that this questionnaire is for health care workers who have already participated in previous tests. ver20210118

Email *

Confirmation of participation qualification *

Participation in this study require one of the following conditions. Please select the applicable one. We regret to inform you that if none of the conditions mentioned below apply to you , then you are not eligible to participate in this study.

I started to work as a health care worker after previously participating in this research.

My work environment has changed since I previously participated in this research. (e.g. change in the hospital ward you are in charge of, or change in affiliated medical institute)

I have been in charge of a patient with COVID-19 since previously participating in this research.

I have been in close contact with a patient with COVID-19 since previously participating in this research.

I was a health care worker when the first blood samples were taken, but I have been away from health care work for more than one month.

I am a health care worker (not applicable to the above).

When did you participate last time? (year) *

When did you participate last time? (month) *

How many times have you participated? *

If this is the first time, please answer questionnaires for first time participants (not this).

Second time

Third time

Fourth or more

Have we requested for re-examination? *

Yes

Please confirm that the decision to participate in this research, “Study on SARS-CoV-2 Antibody Titer Measurement in Human Serum and Utilization of the Result” is yours. *

Yes

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