• 01Donor information
• 02Lifestyle
• 03Others

• 01Donor information
• 02Lifestyle
• 03Others

• Q. Exercise (average of the past month)

  0 time 1~2 times/week 3~4 times/week 5~6 times/week Everyday

• Q. If you exercise, how many minutes do you exercise for a day?

  Less than 30 minutes 30 minutes ~ 60 minutes 60 minutes ~ 120 minutes More than 120 minutes

• Q. How many drinks do you drink on average for a week? (including wine, beer)

  0 cup 1 ~ 5 cups 5 ~10 cups 10 ~15 cups 15 or more

• Q. Smoking (per day)

  Non-smoker 1 ~ 5 cigarettes 5 ~ 10 cigarettes 10 ~ 15 cigarettes 15 or more

• Q. Have you taken antibiotics or drugs within the last 3 months?

  Yes No

• Q. Do you take daily medications?

  Yes No

• 01Donor information
• 02Lifestyle
• 03Others

• Q. Have you had a blood transfusion in the last 12 months?

  Yes No

• Q. Have you visited a nursing home or a treatment facility where there are outpatient visits within the last 6 months?

  Yes No

• Q. Have you consumed lactobacilli within the last 3 months?

  Yes No

• Q. Do you usually have a fever or gastrointestinal problems such as diarrhea, abdominal pain, and bloating?

  Yes No

• Q. Do you or any of your parents or siblings have a family history of colon cancer, inflammatory bowel disease, or irritable bowel syndrome?

  Yes No

• Q. Do you have any allergies?

  Yes No

Return to previous step Proceed to next step

• 01Applicant information
• 02Patient information
• 03Hospital information

• 01Applicant information
• 02Patient information
• 03Hospital information

Same as the applicant.

• 01Applicant information
• 02Patient information
• 03Hospital information