長新冠/長期COVID症廣東話講座報名表 / Long COVID Information Cantonese Workshop Registration Form

長新冠/長期COVID症廣東話講座報名表 / Long COVID Information Cantonese Workshop
中僑健康教育計劃將舉辦線上廣東話講座，介紹長新冠/長期COVID症資訊。

S.U.C.C.E.S.S. is delivering an online Cantonese workshop. Join us to learn more about the updated health information.

請填寫並提交以下表格報名! 

Please fill in this form to register for the workshop.

講座簡介 / General Information

日期：2025年9月11日（四）/ Date: September 11th , 2025 (Thursday)

時間：上午10時半 – 中午12時 / Time: 10:30am – 12:00pm

地點：線上ZOOM / Location: ZOOM

講者： Vanessa Cheng 註冊藥劑師

Guest Speaker: Vanessa Cheng, Registered Pharmacist

內容 / Content：

長期新冠疫情資訊 / Post COVID-19 condition (long COVID) information:

- 長期新冠症狀 / Symptoms of long COVID

- 長期新冠的預防與治療 / Prevention and treatment of Long Covid

- 是否仍應接種新冠疫苗? / Still need vaccination for Covid-19?

*如活動前後完成調查問卷，可以參加抽獎! You can enter a lucky draw if you complete both the pre & post survey!

如有任何疑問，請致電236-235-1341/ 604-335-7154與我們聯繫。
名額有限，期待您的參與！

For any questions, please contact us on 236-235-1341/604-335-7154.
We look forward to seeing you!
姓名 / Name*

名字 / First Name姓氏 / Last Name
電話號碼 / Phone Number*
Please enter a valid phone number.
電子郵件 / Email(如有/if any)
example@example.com
性別 / Gender

女 / Female男 / Male第三型別 / Non-binary/third gender不願透露 / Prefer not to say
年齡組別 / Age Group*

19歲或以下 / Under 19 years19 – 24歲 / 19 - 24 years25 – 34歲 / 25 - 34 years35 – 44歲 / 35 - 44 years45 – 54歲 / 45 - 54 years55 -65歲 / 55 - 65 years65歲或以上/ 65 years or above
你在家中通常說什麼語言？/ What language do you speak at home?

廣東話/ Cantonese普通話 / Mandarin英文 / EnglishOther
您的原居地? / Where do you come from?

香港 / Hong Kong中國 / China台灣 / Taiwan越南 / Vietnam馬來西亞 / Malaysia新加坡 / SingaporeOther
您的移民途徑 ? / What was your immigration category/type?

家庭團聚 / Family Class(開放)工作簽證 / (Open) Work Permit國際學生 / International Student不願透露 / Prefer not to sayOther
您現在加的身份 ? / What is your immigration status?

加拿大公民 / Canadian Citizenship永久居民 / Permanent Resident臨時工作簽證 / Temporary Foreign Worker國際學生 / International Student不願透露 / Prefer not to say
您住在加拿大多長時間? / How many years have you been resident in Canada?

1-2年/ 1 – 2 years3-4年/ 3 – 4 years5-10年/ 5 – 10 years10年或以上/ 10 years or more
您是否參加過健康教育計劃之前舉辦的講座/工作坊/活動？ Have you ever joined any previous (online)talks/workshops/events hold by Health Education Project?*

有 / Yes沒有 / No
您是否願意中僑互助會就相關活動與您聯繫? / Would you like to be contacted regarding other related programs from S.U.C.C.E.S.S.?*

是 / Yes否 / No
感謝您的報名。

Thank you for your registration.
Should be Empty:

長新冠/長期COVID症 廣東話講座 報名表 / Long COVID Information Cantonese Workshop

長新冠/長期COVID症廣東話講座報名表 / Long COVID Information Cantonese Workshop