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特定健康診査に関する質問 ... - amda-imic.com

Questionnaire on specific health examination English No1 31 Yes No2 Yes No3 Yes No4 Yes No5 Yes No6 Yes No7 Yes No8 Yes No9 Yes No10 Yes No11 Yes No Questionnaire on specific health examination 0ptions answers Are you taking the following medicines at present? Have you ever been told by the doctor you have a heartdisease ( angina pectoris, myocardial infarction, etc ) andreceived treatment? Have you ever been diagnosed as having chronic kidneydisease or kidney failure and received treatment (dialysistherapy)?

特定健康診査に関する質問 Questionnaire on specific health examination 【英語】(English) No 1~3 1 ① はい ② いいえ ① Yes ② No 2 ① はい ② いいえ

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