Online registration

1)

Do you accept your Holiday to be arranged on weekday sometimes?

Yes No

2)

Do you eat pork?

Yes No

3)

Are you willing to take care of dog, cat or other pet ?

Yes No

4)

Do you have experience in teaching children’s homework?

Yes No

5)

Do you drink alcohol or smoke regularly?

Yes No

6)

Do you plan to go back home country on coming year?

Yes No

7)

Do you have tattoo?

Yes No

8)

Have you ever undergone any surgery?

Yes No

9)

Are you on medicine and have long-term subsequent visit record?

Yes No

10)

Have you ever had any serious health problems?

Yes No

11)

Have you ever contracted any neurosis disease?

Yes No

12)

Have you ever contracted any skin disease(eg. fungal nail infections)?

Yes No

13)

Have been sensitive to the medicine?

Yes No

14)

Have ever suffered from high blood pressure or diabetes?

Yes No

15)

Are suffering from claustrophobia?

Yes No