General Health Information 整体健康问题
Are you currently taking prescription medications forany of the following conditions? 您目前服用处方/非处方药吗？:No 没有

Have you frequently smoked, used e-cigarettes, or vapes in the past year? 您抽烟吗？: No 没有

Have you had any tattoos, piercings, or acupuncture treatments in the past year? 您最近一年有纹身吗？:No 没有

Are you involved in any legal matters, including divorce proceedings, lawsuits, misdemeanors, custody disputes, and/or criminal offenses? Do you have any record of arrest or detention?？您有无犯罪被拘留记录？:No 没有

Is anyone in your household currently using marijuana or herbal supplements? 您有使用大麻类药剂吗？:No 没有

生育经历：拥有3个顺产健康的孩子。

Household and Health Information 家庭居住及健康状况

Are you currently in a stable household? 您有固定居所吗？：Yes 是的

Do you or your family or your sexual partners have a history of any of the following health conditions? Check all that apply 您的家人或者伴侣有任何健康问题吗？:No 没有

Anyone in your household currently using marijuana orherbal supplements? 您的家人有使用大麻类药剂吗？:No 没有