By Administrator , 10 July, 2025 Introducer Details INTRODUCER full name 介绍人全名: INTRODUCER Handphone 介绍人手机号: INTRODUCER Email 介绍人电邮: Personal Information Full Name 名字: Handphone 手机号: Email address 电邮: Sex 性别: Male Female Other Marital status 婚姻状况: Single Married Divorced Widowed Birth date 生日: NRIC 身份证号码: Work Information Employment status 就业状况: Select Employed-Full Time Employed-Part Time Military Unemployed Self-Employed Student If employed, choose the industry of employer 如果受雇，雇主的行业: Select Consultancy Technology Health Care Beauty and Slimming Food and Beverages Software and Digital Tech Services Manufacturing Government Samples Given (Capsule) 提供样品（胶囊） Please select 'other' in menu below. 请选择以下 ‘Other(其他)’ 填写数字: 6 8 10 Other... Enter other: Existing health condition 目前健康状况 Please check all those relevant to you. 请选择跟你目前状况相关的选项。 Hypertension 高血压 High cholesterol 高胆固醇 Hyperlipidemia 高血脂 Diabetes 糖尿病 Uric Acid 尿酸 Gout 痛风 Cancer 癌症 Other conditions From age of 30, our blood vessels will start slowly blocking by plaque. 从30岁起，我们的血管将开始逐渐阻塞。 Do you agree? 你认同吗？ Yes No Vascular obstruction comes from: (1) Eat too much fried food (2) Consuming processed food and drinks (3) bad living habits. 血管阻塞来自于：(1）吃太多煎炸食物 (2）食用加工食物和饮料 (3）不良生活习惯。 Do you agree? 你认同吗？ Yes No Hand and feet feeling numbness, sore waist and backache! These are the signs and signals given by our body for cardiovascular and/or cerebrovascular obstruction. 手脚麻痹，腰酸背痛！这是身体给我们心脑血管阻塞的通知。 Do you agree? 你认同吗？ Yes No The function of blood vessels is to deliver blood to the organs and tissues in your body. The blood supplies them with oxygen and nutrients they need to function. Blood vessels also carry waste products and carbon dioxide away from your organs and tissues. 血管的功能是将血液输送到体内的器官和细胞组织。 血管内的血液为器官和细胞组织提供运作所需的氧气和营养。 血管还会将废物和二氧化碳透过血液从器官和组织中带走。 Do you agree? 你认同吗？ Yes No Mental sluggishness, always feeling tired, lazy and low body vitality! These could be due to blood circulation obstruction in the body. 精神萎靡不振，时常感到累和慵懒，身体活力减退！这是体内血液循环受阻的象征。 Do you agree? 你认同吗？ Yes No When the blood vessels in your body are not clogged, the blood will circulate smoothly throughout the body and you will feel vigor and energetic. 当你身体血管没有堵塞，血液会环绕全身循环通畅而此时的你会感到很精神。 Do you agree? 你认同吗？ Yes No Log in to post comments Comments
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