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Notice on how to request a foreign language questionnaire form


Regarding delivery services for foreign language questionnaire forms

The questionnaire forms are available in English, Chinese, Korean, Tagalog and Japanese.
For those who wish to have the questionnaire forms sent to them, please refer to the questionnaire delivery guidelines for more details.


Notice on How to Request a Foreign Language Questionnaire Form

For foreign residents who currently reside in Fukushima prefecture that request the questionnaire forms in foreign languages, please download the PDF file below.

Information about the Fukushima Health Management Survey
Basic Survey Medical Interview Sheet (Response Sheet)
How to fill out the Medical Interview Sheet
Events Calender

Contact
Fukushima Health Management Survey Office, Radiation Medical Science Center for the Fukushima health management survey, Fukushima Medical University
TEL: 024-549-5130 (9:00~17:00) ※Japanese Only
E-mail: kenkan@fmu.ac.jp

If you need details in English or Chinese, please inquire at the contact number provided below.
Fukushima International Association TEL: 024-524-1316
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