Mini Survey
Complete these few questions about your health and
stand a chance to win a voucher to the value of R2 500 or 1 of 10 vouchers to the value of R250
to spend at Scan4Health or Dr Tuft and partners Inc.
Title
Mr
Mrs
Ms
Dr
Prof
First Name
Surname
Gender
Female
Male
Age
Email
Telephone
Location
Eastern Cape
Free State
Gauteng
Kwazulu Natal
Limpopo
Northern Cape
North West
Mapumalanga
Western Cape
Please contact me by email or phone with more info on Scan4Health.
Would you like to take a virtual look inside your body?
Yes
No
Are you afraid you may have cancer?
Yes
No
Are you afraid you may have heart disease?
Yes
No
Do you have a family history of breast cancer?
Yes
No
Do you have a family history of colon cancer?
Yes
No
Are you a smoker?
Yes
No
Have you ever had a mammogram?
Yes
No
Do you experience high levels of stress?
Yes
No
Have you ever had a bone fracture as a result of minor trauma?
Yes
No
Do you have high blood pressure and or high cholesterol?
Yes
No
Do you think you may be overweight?
Yes
No
What is your household income bracket per month?
< R10 000
R10 000 - R20 000
R20 000 - R30 000
R30 000 - R40 000
Terms & Condition of the prize
Valid for 6 months after date of issue
Has to be redeemed at Scan4Health or Dr Tuft & Partners Inc.
Not transferable
Cannot be exchanged for cash
Competition not open to employees of Dr Tuft & Partners Inc. or Scan4Health
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On behalf of Scan4Health, thank you for your time. Enjoy the rest of your day.