Name 姓名

If you want to print your name in the Report, please provide your Full Name 如果您想在報告中列印您的姓名， 請提供您的全名

Date of Birth 出生日期

Date of Birth 出生日期
Manifestation of allergies correlates significantly with age, as such we ask that the information provided is accurate 因過敏與歲數息息相關,還請閣下提供正確的資料

Gender 性別

Manifestation of allergies correlates significantly with gender, as such we ask that the information provided is accurate 因過敏與性別息息相關,還請閣下提供正確的資料

language 語言