JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
懷疑確診輕度認知障礙或腦退化症問卷調查
各位是否覺得自己或身邊的人隨年紀的增長記性變得愈來愈差? 擔心日後不能自理生活? 我們九龍城地區康健站現為65歲或以上人士免費進行認知評估,如懷疑確診輕度認知障礙或腦退化症,會轉介相關機構進行進一步評估或檢查。另外,我們會開設班組,為已確診患者及其照顧者提供相關資訊。
如有查詢,請致電:2338 3211 (九龍城地區康健站) 。
Sign in to Google
to save your progress.
Learn more
* Indicates required question
是否已成為九龍城地區康健站會員? / Are you the member of Kowloon City DHC Express?
*
是 / Yes
否 / No
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report