{{ $t(\"MaritalStatus\") }}
\r\n\r\n{{ $t(\"MaritalStatus\") }}
\r\n{{ $t(\"Ifyeshowmany\") }}:
\r\n\r\n{{ $t(\"Age\") }}:
\r\n\r\n{{ $t(\"Internationalinsurance\") }}
\r\n\r\n{{ $t(\"Insurancecompanyname\") }}:
\r\n\r\n{{ $t(\"Areyouasmoker\") }}
\r\n{{ $t(\"Level\") }}:
\r\nClarification of each criteria: 6 cigarettes a day considered as\r\n moderate
\r\n \r\n{{ $t(\"Doyoudrinkalcohol\") }}
\r\n{{ $t(\"Howmanydrinksperday\") }}:
\r\n{{ $t(\"Haveyougonethroughanysurgerybefore\") }}
\r\n{{ $t(\"Ifyesdescripe\") }}:
\r\n{{ $t(\"Areyoudiagnosedwithloworhighpressure\") }}
\r\n \r\n{{ $t(\"Areyouasthmatic\") }}
\r\n \r\n{{ $t(\"Ifyesdescripe\") }}:
\r\n\r\n {{\r\n $t(\"HaveyousufferedfromanydiseasesuchasMalariahepatitisetc\")\r\n }}\r\n
\r\n \r\n{{ $t(\"Howmanydrinksperday\") }}:
\r\n{{ $t(\"Anycancerdiagnosishistoryinyourfamily\") }}
\r\n{{ $t(\"Ifyesdescripe\") }}:
\r\n