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<a href="http://spreadsheets.google.com/viewform?key=pHcqfnT0BS_-55RVQ_2l3Fg" style="">http://spreadsheets.google.com/viewform?key=pHcqfnT0BS_-55RVQ_2l3Fg</a>
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<div class="form-body" style=""><h1 class="ss-form-title" style="">十天免費瘦身計劃 , 無需食藥節食做運動</h1>
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<pre class="ss-form-desc" style="font:inherit;white-space:-moz-pre-wrap;word-wrap:break-word;width:99%;margin:0;">為配合康寶萊的品牌推廣，現推行『十天免費減肥計劃』!快快邀請你的至愛親朋來體驗一下球星碧咸也推崇的營養產品。
『康寶萊免費減肥計劃』
只要你…
(1) 態度認真！
(2) 有多餘脂肪可減！
(3) 承諾堅持完成十天之免費產品試用計劃！
(4) 願意依顧問指示使用產品，並如實報告其生活及飲食習慣！
→你便有足夠的資格去參加此計劃!
請填寫以下問卷
即可參加『十天免費減肥計劃』。
(每人只可參加一次，重覆參加者將取消資格。)
參考網站：
http://hk.myblog.yahoo.com/ilovebeauty@ymail.com
http://www.herbalife.com/soccer/hl/index.html
電郵查詢：ilovebeauty67@gmail.com
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<div class="ss-form-entry" style="margin-bottom:1.5em;"><label for="entry_0" class="ss-q-title" style="display:block;font-weight:bold;">姓名
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<label for="entry_2" class="ss-q-help" style="display:block;color:#666;margin:.1em 0 .25em 0;"></label>
<ul class="ss-choices" style="list-style:none;margin:.5em 0 0 0;padding:0;"><li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;"><input type="radio" name="entry.2.group" value="男" id="group_2_1" class="ss-form-input" style="vertical-align:middle;margin-top:0;">
<label class="ss-choice-label" for="group_2_1" style="">男</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;"><input type="radio" name="entry.2.group" value="女 " id="group_2_2" class="ss-form-input" style="vertical-align:middle;margin-top:0;">
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<div class="ss-form-entry" style="margin-bottom:1.5em;"><label for="entry_3" class="ss-q-title" style="display:block;font-weight:bold;">年齡
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<div class="ss-form-entry" style="margin-bottom:1.5em;"><label for="entry_4" class="ss-q-title" style="display:block;font-weight:bold;">身高(cm)
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<div class="ss-form-entry" style="margin-bottom:1.5em;"><label for="entry_5" class="ss-q-title" style="display:block;font-weight:bold;">體重(kg)
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<div class="ss-form-entry" style="margin-bottom:1.5em;"><label for="entry_8" class="ss-q-title" style="display:block;font-weight:bold;">減重决心( 1為最小, 10為最大 )
<span class="ss-required-asterisk" style="color:#c43b1d;">*</span></label>
<label for="entry_8" class="ss-q-help" style="display:block;color:#666;margin:.1em 0 .25em 0;"></label>
<select name="entry.8.single" id="entry_8" style=""><option value="1" style="">1</option> <option value="2" style="">2</option> <option value="3" style="">3</option> <option value="4" style="">4</option> <option value="5" style="">5</option> <option value="6" style="">6</option> <option value="7" style="">7</option> <option value="8" style="">8</option> <option value="9" style="">9</option> <option value="10" style="">10</option></select></div></div>
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<div class="ss-form-entry" style="margin-bottom:1.5em;"><label for="entry_9" class="ss-q-title" style="display:block;font-weight:bold;">你為什麼變胖?
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<div class="ss-form-entry" style="margin-bottom:1.5em;"><label for="entry_10" class="ss-q-title" style="display:block;font-weight:bold;">曾嘗試過的減重方法
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<div class="ss-form-entry" style="margin-bottom:1.5em;"><label for="entry_11" class="ss-q-title" style="display:block;font-weight:bold;">希望減幾公斤
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<label for="entry_11" class="ss-q-help" style="display:block;color:#666;margin:.1em 0 .25em 0;"></label>
<ul class="ss-choices" style="list-style:none;margin:.5em 0 0 0;padding:0;"><li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;"><input type="radio" name="entry.11.group" value="５公斤以下" id="group_11_1" class="ss-form-input" style="vertical-align:middle;margin-top:0;">
<label class="ss-choice-label" for="group_11_1" style="">５公斤以下</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;"><input type="radio" name="entry.11.group" value="５－１０公斤" id="group_11_2" class="ss-form-input" style="vertical-align:middle;margin-top:0;">
<label class="ss-choice-label" for="group_11_2" style="">５－１０公斤</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;"><input type="radio" name="entry.11.group" value="１０－１５公斤 " id="group_11_3" class="ss-form-input" style="vertical-align:middle;margin-top:0;">
<label class="ss-choice-label" for="group_11_3" style="">１０－１５公斤 </label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;"><input type="radio" name="entry.11.group" value="１５－２０公斤 " id="group_11_4" class="ss-form-input" style="vertical-align:middle;margin-top:0;">
<label class="ss-choice-label" for="group_11_4" style="">１５－２０公斤 </label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;"><input type="radio" name="entry.11.group" value="２０公斤以上 " id="group_11_5" class="ss-form-input" style="vertical-align:middle;margin-top:0;">
<label class="ss-choice-label" for="group_11_5" style="">２０公斤以上 </label></li>
<li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;"><input type="radio" name="entry.11.group" value="__option__" id="other_option:11" class="ss-form-input" style="vertical-align:middle;margin-top:0;">
<label for="other_option:11" style="">其他:</label>
<input type="text" name="entry.11.group.other_option_" value="" style=""></li></ul></div></div>
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<div class="ss-form-entry" style="margin-bottom:1.5em;"><label for="entry_12" class="ss-q-title" style="display:block;font-weight:bold;">想減部位?
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<label for="entry_12" class="ss-q-help" style="display:block;color:#666;margin:.1em 0 .25em 0;"></label>
<ul class="ss-choices" style="list-style:none;margin:.5em 0 0 0;padding:0;"><li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;"><input type="radio" name="entry.12.group" value="腰臀" id="group_12_1" class="ss-form-input" style="vertical-align:middle;margin-top:0;">
<label class="ss-choice-label" for="group_12_1" style="">腰臀</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;"><input type="radio" name="entry.12.group" value="腹部" id="group_12_2" class="ss-form-input" style="vertical-align:middle;margin-top:0;">
<label class="ss-choice-label" for="group_12_2" style="">腹部</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;"><input type="radio" name="entry.12.group" value="大腿" id="group_12_3" class="ss-form-input" style="vertical-align:middle;margin-top:0;">
<label class="ss-choice-label" for="group_12_3" style="">大腿</label></li> <li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;"><input type="radio" name="entry.12.group" value="手臂" id="group_12_4" class="ss-form-input" style="vertical-align:middle;margin-top:0;">
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<label class="ss-choice-label" for="group_12_5" style="">全身</label></li>
<li class="ss-choice-item" style="margin:0;line-height:1.3em;padding-bottom:.5em;"><input type="radio" name="entry.12.group" value="__option__" id="other_option:12" class="ss-form-input" style="vertical-align:middle;margin-top:0;">
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