나타샤의 맞춤 루틴 질문지 · Personal Routine Questionnaire
QLife 맞춤 루틴을 위한 질문지예요. 작성해 주시면 5영업일 안에 Natasha가 맞춤 루틴 카드를 보내 드려요. · Please fill this in and Natasha will send your personal routine card within 5 working days.
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주문번호 / Order number
이름 / Name
누구를 위한 루틴인가요? / Who is this routine for?
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나이와 성별 / Age and sex
가장 도움이 필요한 부분은 무엇인가요? 언제부터 그랬나요? / What would you most like help with, and since when?
해당되는 것을 모두 선택해 주세요 / Tick any that apply
현재 복용 중인 약이나 영양제 / Current medications and supplements
진단받은 질환이나 알레르기 / Diagnosed conditions or allergies
임신 중이거나 모유 수유 중인가요? / Are you pregnant or breastfeeding?
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식사, 운동, 카페인, 음주 습관을 간단히 알려 주세요 / Briefly describe your diet, exercise, caffeine and alcohol
이미 가지고 있는 QLife 제품 / QLife remedies you already have
동의 / Consent
A copy of your responses will be emailed to the address you provided.
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