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紮肚療程-顧客個人表格
Blessing Lab 專業紮肚產後護理服務
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客戶姓名
*
Your answer
聯絡電話:
*
Your answer
職業:
Your answer
年齡
*
Your answer
生產情況
*
順產
開刀
第幾胎
*
Your answer
生產日期
*
MM
/
DD
/
YYYY
惡露流量
*
多
一般
少
腹部皮膚敏感情況
*
非常敏感
一般
不會敏感
胃部
*
好
一般
不好
水種情況
*
嚴重
一般
少量
特別身體狀況備註
Your answer
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