We are targeting
patients who undergone the cardiac (heart) surgery with coronary stent implantation with not more than 6 months to participate in
our Health Care Survey.
Date/Time : WILL CALL TO ARRANGE
Venue
: Bangsar / Mid Valley
Duration : 1 hour
Language : Malay / English / Cantonese
Race : OPEN
Gender : Male & Female
Age : OPEN
Incentive : RM250 (cash payment to you on the
spot)
Interested,
please provide the information as stated below to Cheong via SMS to 012-9234620
or you may email to cheongsurvey@gmail.com
:
1. Full
name:
2. IC No:
3. Contact
No:
4. Marital
status (single/married with kid/ married without kid/etc):
5. Occupation:
6. Monthly
household income (above RM3000/below RM3000/etc):
7. Type of coronary
stent inserted:
8. Date of
operation:
9. Hospital
undergone this surgery:
10. Language
preferred (English/Malay/Mandarin/Cantonese):
No comments:
Post a Comment