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Important Note to All Customers

After you have placed your order please remember to fill out the health questionnaire. You will need your order number from CCNOW to fill out the form.

Click here to go to the questionnaire.


Hsin Kuang Herbal Store and Clinic - Health Questionnaire

Once you place your order with our payment processor CCNOW, you will receive an order number. Please use this order number to fill out the health questionnaire below. This questionnaire is extremely important as it will allow us to customize your preparation and adjust dosage.
Please enter your CCNOW order number:
Are you male or female?
Please enter your age: Years and Months
Please enter your weight: kg OR lbs
Please enter your height:

feet and inches OR centimeters

Are you vegetarian?
What is the main health problem that brings you to us? Please give us as many details as possible describing all symptoms you are suffering from.
How long have you had this problem? Years and Months
What do you think might be causing this problem?
What medicines ( if any) are you taking for this problem?

 


 

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Hsin Kuang Herbal Store and Clinic - 35 Brompton Road - Knightsbridge - London SW3 1DE - United Kingdom