HIV Testing Consultation Service for Foreign Residents
Reservation Form (Setagaya Public Health Center)
Select your language
English
中文
Tiếng việt
Select your time frame
请选择您希望的时间
Bạn hãy lựa chọn thời gian mong muốn
Questions
I agree with the above terms before applying.
はい
Are you the person taking the test?
はい
Can you come on both the test and the result explanation date?
Test date: July 17 (Thu) 10:00~10:15
Result Explanation Date: July 24 (Thu) 9:30~10:15
はい
What is your native language?
English
Chinese
Vietnamese
Nepali
Other
What is your nationality?
China
South Korea
USA
Vietnam
Taiwan
Philippines
Other
How long have you been in Japan?
1 year
more than 1 year and 2 years
more than 2 years and less than 5 years
more than 5 years
Do you need an interpreter?
Yes
No
Have you had any reaction to alcohol disinfection?
Yes
No
Have you ever felt unwell after taking a blood test?
Yes
No
Is there anything you would like to ask or know more about?
Symptoms of sexually transmitted diseases and the way of treatment
Prevention of sexually transmitted diseases
About PrEP (pre-exposure prophylaxis)
Other
Nothing in particular
How did you learn about this testing event? (multiple answers allowed)
Facebook
9monsters
Instagram
RedNote
Setagaya City website
Inspection Flyer
Friends
Schools
Other
Enter your email address
请输入您的电子邮件地址
Vui lòng nhập địa chỉ email của bạn