倍靈指環 Belun Ring
感謝你對倍靈指環的興趣!請填寫以下表格以便我們或合作伙伴聯絡你。
此表格所收集的資料只用作倍靈科技有限公司或其合作伙伴聯絡之用。
Thank you for your interests in Belun Ring! Please fill in the form below for us or our partners to contact you.
The information collected in this form will be used only by Belun Technology Company Limited or its partners for promotion and communication use.
你如何認識倍靈指環 How do you know Belun Ring? *
你的性別是... Your gender is... *
你的年齡是... Your age is... *
你打鼻鼾時大聲嗎 (大聲到隔着關上的門也聽得到,或你在夜間打鼾時會被床上的伴侣用手肘敲打你) Do you snore loudly (loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night)? *
你是否經常在日間感到疲倦、疲勞或昏昏欲睡(如在開車時睡着) Do you often feel tired, fatigued, or sleepy during the daytime (such as falling asleep during driving)? *
是否有人察覺你在睡覺時停止呼吸或窒息/喘氣 Has anyone observed you stop breathing or choking/gasping during your sleep ? *
你是否願意付費進行倍靈指環睡眠窒息症篩查測試 Would you like to perform the Belun Ring sleep apnea screening test for a fee ? *
你的名字是... Your name is... *
Your answer
你的電子郵件地址是... Your email address is... *
Your answer
你的聯絡電話號碼是... Your contact number is...
Your answer
你是否願意讓我們合作的醫務中心聯絡你,跟進睡眠窒息症篩查測試服務?Would you like to let our medical centre partners to contact you for sleep apnea screen testing service? *
多謝 Thank you !
如有其他疑問,歡迎電郵至 info@beluntech.com
If you have other questions, please email to info@beluntech.com
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