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MyRisk
1. Age:
<20
20 - 60
>60
2. Gender:
Male
Female
3. District:
Red
Orange
Yellow
Green
4. State:
Johor
Kedah
Kelantan
Melaka
Negeri Sembilan
Pahang
Pulau Pinang
Perak
Perlis
Selangor
Terengganu
Sabah
Sarawak
Kuala Lumpur
Labuan
Putrajaya
5. Please state places that you have been in the past 3 days
a) Shopping Mall
Yes
No
Have you practice these preventive measures?
I maintain a distance of at least 1 meter from others
I wear a face mask
I wash my hands with soap and water or use hand sanitizer frequently.
b) Grocery Shop
Yes
No
Have you practice these preventive measures?
I maintain a distance of at least 1 meter from others
I wear a face mask
I wash my hands with soap and water or use hand sanitizer frequently.
c) Place of worship
Yes
No
Have you practice these preventive measures?
I maintain a distance of at least 1 meter from others
I wear a face mask
I wash my hands with soap and water or use hand sanitizer frequently.
d) Restaurant
Yes
No
Have you practice these preventive measures?
I maintain a distance of at least 1 meter from others
I wear a face mask
I wash my hands with soap and water or use hand sanitizer frequently.
e) School/higher learning institution/workplace
Yes
No
Have you practice these preventive measures?
I maintain a distance of at least 1 meter from others
I wear a face mask
I wash my hands with soap and water or use hand sanitizer frequently.
f) Public Transportation
Yes
No
Have you practice these preventive measures?
I maintain a distance of at least 1 meter from others
I wear a face mask
I wash my hands with soap and water or use hand sanitizer frequently.
g) Attend social gathering
Yes
No
Have you practice these preventive measures?
I maintain a distance of at least 1 meter from others
I wear a face mask
I wash my hands with soap and water or use hand sanitizer frequently.
SUBMIT