免费健康服务，等您来参与
<P> 互联网健康需求调查表您好，耽误您一点宝贵时间，请您认真填写下列健康需求调查表，并及时发送至 <A href="mailto:cnready@188.com">cnready@188.com</A>，届时您将会获得由同济堂公司免费提供的为期一个月的健康管理信息服务！</P><P>
<TABLE class=MsoTableGrid style="BORDER-RIGHT: medium none; BORDER-TOP: medium none; MARGIN: auto auto auto 5.4pt; BORDER-LEFT: medium none; WIDTH: 455.4pt; BORDER-BOTTOM: medium none; BORDER-COLLAPSE: collapse; mso-border-alt: solid windowtext .5pt; mso-yfti-tbllook: 480; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext" cellSpacing=0 cellPadding=0 width=607 border=1>
<TBODY>
<TR style="mso-yfti-irow: 0; mso-yfti-firstrow: yes">
<TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 1pt solid; WIDTH: 92.7pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent; mso-border-alt: solid windowtext .5pt" vAlign=top width=124>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 18pt; mso-line-height-rule: exactly"><FONT size=3><SPAN style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">姓名：</SPAN><SPAN lang=EN-US style="COLOR: black; mso-bidi-font-size: 10.5pt"><?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></SPAN></FONT></P></TD>
<TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ebe9ed; WIDTH: 92.7pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt" vAlign=top width=124>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 18pt; mso-line-height-rule: exactly"><FONT size=3><SPAN style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">年龄：</SPAN><SPAN lang=EN-US style="COLOR: black; mso-bidi-font-size: 10.5pt"><o:p></o:p></SPAN></FONT></P></TD>
<TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ebe9ed; WIDTH: 117pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt" vAlign=top width=156>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 18pt; mso-line-height-rule: exactly"><FONT size=3><SPAN style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">性别：</SPAN><SPAN lang=EN-US style="COLOR: black; mso-bidi-font-size: 10.5pt"><o:p></o:p></SPAN></FONT></P></TD>
<TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ebe9ed; WIDTH: 153pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt" vAlign=top width=204>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 18pt; mso-line-height-rule: exactly"><FONT size=3><SPAN style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">收入水平：</SPAN><SPAN lang=EN-US style="COLOR: black; mso-bidi-font-size: 10.5pt"><o:p></o:p></SPAN></FONT></P></TD></TR>
<TR style="mso-yfti-irow: 1">
<TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ebe9ed; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 1pt solid; WIDTH: 185.4pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=247 colSpan=2>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; mso-line-height-rule: exactly"><FONT size=3><SPAN lang=EN-US style="COLOR: black; mso-bidi-font-size: 10.5pt"><FONT face="Times New Roman">E-mail</FONT></SPAN><SPAN style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">：</SPAN><SPAN lang=EN-US style="COLOR: black; mso-bidi-font-size: 10.5pt"><o:p></o:p></SPAN></FONT></P></TD>
<TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ebe9ed; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ebe9ed; WIDTH: 117pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=156>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; mso-line-height-rule: exactly"><FONT size=3><SPAN style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">电话：</SPAN><SPAN lang=EN-US style="COLOR: black; mso-bidi-font-size: 10.5pt"><o:p></o:p></SPAN></FONT></P></TD>
<TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ebe9ed; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ebe9ed; WIDTH: 153pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=204>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; mso-line-height-rule: exactly"><FONT size=3><SPAN lang=EN-US style="COLOR: black; mso-bidi-font-size: 10.5pt"><FONT face="Times New Roman">QQ</FONT></SPAN><SPAN style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">／</SPAN><SPAN lang=EN-US style="COLOR: black; mso-bidi-font-size: 10.5pt"><FONT face="Times New Roman">MSN</FONT></SPAN><SPAN style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'">：</SPAN><SPAN lang=EN-US style="COLOR: black; mso-bidi-font-size: 10.5pt"><o:p></o:p></SPAN></FONT></P></TD></TR>
<TR style="mso-yfti-irow: 2; mso-yfti-lastrow: yes">
<TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ebe9ed; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 1pt solid; WIDTH: 455.4pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; BACKGROUND-COLOR: transparent; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=607 colSpan=4>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; mso-line-height-rule: exactly"><SPAN style="COLOR: black; FONT-FAMILY: 宋体; mso-bidi-font-size: 10.5pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'"><FONT size=3>家庭地址：</FONT></SPAN><SPAN lang=EN-US style="COLOR: black; mso-bidi-font-size: 10.5pt"><o:p></o:p></SPAN></P></TD></TR></TBODY></TABLE></P>
<P> </P>
<P>一、您是否了解健康管理？</P>
<P> ( ) 1、了解 2、不了解 3、想了解</P>
<P> </P>
<P>二、您认为最合适的健康服务方式是?</P>
<P> ( ) 1、短信服务 2、互联网服务 3、电话服务 4、上门服务 5、医院就诊 6、其它</P>
<P> </P>
<P>三、您感兴趣的健康知识是？</P>
<P> ( ) 1、营养膳食知识 2、身体保健知识 3、疾病预防知识 4、运动健身知识 5、心理疾病知识 6、其它</P>
<P> </P>
<P>四、您关注的慢性疾病是？</P>
<P> ( ) 1、高血压 2、糖尿病 3、冠心病 4、肺部疾病 5、胃肠道疾病 6、肾脏疾病 7、其它</P>
<P> </P>
<P>五、您一年的医疗卫生支出大概是？</P>
<P> ( ) 1、100元以下 2、101～500元 3、500～1000元 4、1000元以上</P>
<P> </P>
<P>六、您可以接受的个人健康管理服务定制价格是（元/月）？</P>
<P> ( ) 1、20～30元 2、31～50元 3、51～100元 4、100元以上</P>
<P> </P>
<P>七、您获取健康信息的途径是？</P>
<P> ( ) 1、医生 2、网上查询 3、报纸杂志、书籍 4、不关心</P>
<P> </P>
<P>八、您平时在哪些网站查询健康资讯？</P>
<P> ( ) 1、同济堂健康网（<A href="http://www.cnready.com" target=_blank>www.cnready.com</A>） 2、护理网 3、用药网 4、其它健康网 5、百度（谷歌）搜索引擎 6、其它 </P>
<P> </P>
<P>九、您是否知道同济堂公司（同济堂健康网<A href="http://www.cnready.com" target=_blank>www.cnready.com</A>）？</P>
<P> ( ) 1、知道 2、经常在同济堂药房买药 3、没听过</P>
<P> </P>
<P>十、您对同济堂公司健康管理服务产品感兴趣的是？</P>
<P> ( ) 1、电话咨询（疾病咨询、用药咨询、心理咨询、急救咨询、营养保健咨询） 2、网络咨询（同济堂健康网咨询、QQ客服咨询等） 3、药品配送（药品直销、保健品直销、医疗器械直销、家庭急救箱直销等） 4、健康短信 (疾病知识、用药知识、营养知识、婚育保健等) 5、上门服务</P>
<P> </P>
<P> 感谢您于百忙之中参与本次健康需求调查活动，同济堂公司在此诚心祝您健康愉快！如您对本活动有任何疑义，欢迎致电咨询:027-84792740。</P> 希望大家都能来参加我们的调查活动，谢谢！ 怎么没有人来?自己顶起来！ 继续顶！~~ :klp :victory: :lol :lol :lol :Dkl :Dkl ~ :Pp :Pp :Pp :Pp :Qo :Qo :Qo 路过~~~路过~~~
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