Connectez-vous
Créer une activité
Types d'activités
Centre d'aide
Entrez votre Game Pin
Blog
Premium
English
Español
Français
Créer une activité
Connectez-vous
Toutes les activités
Jouer Ordonner les Mots
Imprimer Ordonner les Mots
Hospital Registration Form
Author :
N. Ph
1.
name
your
is
What?
2.
your
is
When
birthday?
3.
you
How
old
are?
4.
your
is
address
What?
5.
phone
number
is
your
What?
6.
do
What
symptoms
have
you?
7.
current
have
or
Do
you
past
any
illnesses?
8.
taking
currently
medication
any
you
Are?
9.
Are
allergic
food
medication
to
or
you
any?
10.
How
you
alcohol
do
much
drink?
11.
Do
smoke
you?
12.
Are
you
pregnant?
13.
you
Are
breastfeeding?