HYUNGINJAE CLINIC
HYUNGINJAE CLINIC
HYUNGINJAE CLINIC
This online survey is for non-face-to-face
prescriptions of Hyunginjae herbal medicine.
The content is identical to the
in-person survey used at our clinic,
and you can select multiple
answers for all questions.
The order of questions and instructions
have been slightly modified
to be suitable for an online format,
but the overall content is unchanged.
If there is no suitable option for your condition,
please feel free to write in the
'Others' box for each question.
※ Please note that all fields
must be completed
for your submission to be processed!
Thank you for submitting your survey.
Our clinic will carefully review your responses
and contact you shortly
to arrange your consultation
for Hyunginjae herbal medicine.