🩸𝐁𝐞 𝐚 𝐛𝐥𝐨𝐨𝐝 𝐝𝐨𝐧𝐨𝐫, 𝐛𝐞 𝐚 𝐥𝐢𝐟𝐞 𝐬𝐚𝐯𝐞𝐫🩸 🩸Blood Donation Campaign 3.0🩸

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Mobile Number

Full Name

🩸𝐁𝐞 𝐚 𝐛𝐥𝐨𝐨𝐝 𝐝𝐨𝐧𝐨𝐫, 𝐛𝐞 𝐚 𝐥𝐢𝐟𝐞 𝐬𝐚𝐯𝐞𝐫🩸 🩸Blood Donation Campaign 3.0🩸

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1. Gender 性别

Male 男

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Female 女

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2. Age 年龄

18-28

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29-39

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40-50

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51-59

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3. Are you currently taking any long-term medications? 你目前有长期服用任何药物吗？

Yes 有

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No 没有

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4. Which time slot do you prefer for your donation? 你比较方便在哪个时段进行捐血？

Section 1: 10.00am - 10.30am

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Section 2: 10.30am - 11.00am

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Section 3: 11.00am - 11.30am

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Section 4: 11.30am - 12.00pm

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Section 5: 12.00pm - 12.30pm

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Section 6: 12.30pm - 1.00pm

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Section 7: 1.00pm - 1.45pm

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Section 8: 2.30pm - 3.00pm

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Section 9: 3.00pm - 3.30pm

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Section 10: 3.30pm - 4.00pm

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5. How did you know about this event? 你怎么知道这个活动？（可选多于一项）

Friends & Family 朋友及家人