Sexual Transmitted Diseases Check-up

Find out more about your health condition and the related services we offer, by completing in a simple health assessment.

*This questionnaire is for reference only. It is not a medical diagnosing tool.

1. When is your last unprotected sexual intercourse?
2. Type of sexual intercourse(Multiple option)
3. Please check if you infected with below STDs in the past (Multiple option) 
4. When is your last diagnosis?
5. What symptoms do you have? (Multiple option) 
6. Duration of symptoms occurred. 


發佈留言必須填寫的電子郵件地址不會公開。 必填欄位標示為 *