TCM Weight Management Workshop RSVP Form

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Find out more about Eu Yan Sang’s Weight Management Program.
• Date: 05 May 2015
• Venue: Eu Yan Sang Premier TCM Centre @ Paragon (290 Orchard Road #13-08/09, Paragon Singapore 238859)
• Time: 7pm to 9pm

Dinner and refreshment will be provided.
There will also be a token of appreciation for all attendees.

Fill out the simple survey below and we will be in touch.

Full Name *

Gender *

Male

Female

Email Address *

Contact No *

Age *

Profession *

BMI *

What is the reason for weight gain? *

How do you feel about your weight? *

Have you tried any Weight Loss Program? *

Yes

If yes, which slimming centre was it and how did you find the treatment?

Submit

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