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你從何得知MY PLACE的資訊?How did you know about MY PLACE?
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「關懷愛滋」網站 AIDS Concern's Website
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姓名 Name
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性別 Gender
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男 Male
女 Female
電郵 Email
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擬預約日期 Preferred Date (星期二、日休息 Closed on Tue and Sun)
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希望預約的體檢計劃 Checkup Package Preferred
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體檢套餐 Checkup (Plan A)
體檢套餐 Checkup (Plan B)
體檢套餐 Checkup (Plan C)
自選套餐 "Just Check" Plan
獨立化驗項目 Individual Test
你從何得知MY PLACE的資訊?How did you know about MY PLACE?
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「關懷愛滋」網站 AIDS Concern's Website
社交平台 Social Media Sites
搜尋引擎(如Google,Yahoo) Search Engines (eg Google, Yahoo)
他人介紹 Referred by Others
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使用者 Client
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現有使用者 I'm on PrEP
新使用者 I'm not currently on PrEP
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預約日期 Preferred Date (Closed on Tue and Sun)
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MM
1
2
3
4
5
6
7
8
9
10
11
12
/
DD
1
2
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/
YYYY
2022
2021
2020
2019
2018
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2016
2015
2014
2013
2012
2011
2010
2009
2008
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2003
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1982
1981
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1972
1971
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1965
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1963
1962
1961
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1959
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1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
你從何得知MY PLACE的資訊?How did you know about MY PLACE?
*
「關懷愛滋」網站 AIDS Concern’s Website
社交平台 Social Media Sites
訂房app廣告 Ads on Room Booking Apps
搜尋引擎(如Google,Yahoo) Search Engines (eg Google, Yahoo)
他人介紹 Referred by Others
其他(可於備註註明) Others (please specify in Remarks)
備註 Remark
提交 Submit