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- <!DOCTYPE html>
- <html>
- <head>
- <meta charset="utf-8">
- <title>健康测评</title>
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- <!--标准mui.css-->
- <link rel="stylesheet" href="../../css/mui.min.css">
- <!--App自定义的css-->
- <style>
- h5 {
- margin: 5px 7px;
- }
- </style>
- </head>
- <body>
- <header class="mui-bar mui-bar-nav">
- <a class="mui-action-back mui-icon mui-icon-left-nav mui-pull-left"></a>
- <h1 class="mui-title">健康测评</h1>
- <a class="mui-pull-right mui-icon mui-action-back" style="font-size: 0.8em;margin-top:5px;color:black;">完成</a>
- </header>
- <div class="mui-content" style="padding:70px 10px 10px 10px;">
- <div class="mui-content-padded">
- <h5 style="font-size: 1.1em;line-height: 1.1em;color: black;">您目前或曾经患过以下疾病吗?</h5>
- <br />
- <h5 style="line-height: 1.2em;position: relative">慢性支气管炎:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomin" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomin">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomin">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">肺气肿:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomin3" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomin3">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomin3">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">肺心病:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomin4" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomin4">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomin4">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">高血压病:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomin5" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomin5">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomin5">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">冠心病或心肌梗死:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomin6" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomin6">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomin6">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">脑卒中(脑中风):</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomin7" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomin7">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomin7">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">糖尿病:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomin8" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomin8">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomin8">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">慢性胃炎或溃疡病:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomin9" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomin9">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomin9">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">慢性肠道疾病:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomin11" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomin11">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomin11">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">慢性肝炎:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomin12" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomin12">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomin12">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">肝硬化:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomi1n" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomi1n">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomi1n">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">慢性肾衰竭:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomi2n" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomi2n">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomi2n">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">骨质疏松症:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomi3n" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomi3n">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomi3n">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">痛风:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomi4n" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomi4n">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomi4n">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">肺癌:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomi5n" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomi5n">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomi5n">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">胃癌:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomi6n" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomi6n">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomi6n">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">肝癌:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomi7n" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomi7n">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomi7n">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">大肠癌:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomi8n" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomi8n">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomi8n">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr />
-
-
- <h5 style="font-size: 1.1em;line-height: 1.1em;top: 19px;position: relative;color: black;">您父母或兄弟姐妹患有或患过以下疾病吗?</h5>
- <br />
- <h5 style="line-height: 1.2em;position: relative">慢性支气管炎:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guomi9n" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guomi9n">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guomi9n">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">肺气肿:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guom1in" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guom1in">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guom1in">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">肺心病:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guom2in" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guom2in">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guom2in">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">高血压病:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guom3in" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guom3in">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guom3in">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">冠心病或心肌梗死:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guom4in" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guom4in">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guom4in">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">脑卒中(脑中风):</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guom5in" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guom5in">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guom5in">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">糖尿病:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guom6in" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guom6in">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guom6in">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">慢性胃炎或溃疡病:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guom7in" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guom7in">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guom7in">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">慢性肠道疾病:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guom8in" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guom8in">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guom8in">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">慢性肝炎:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guom9in" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guom9in">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guom9in">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">肝硬化:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guom0in" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guom0in">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guom0in">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">慢性肾衰竭:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guo1min" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guo1min">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guo1min">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">骨质疏松症:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guo2min" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guo2min">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guo2min">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">痛风:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guo3min" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guo3min">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guo3min">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">肺癌:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guo4min" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guo4min">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guo4min">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">胃癌:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guo5min" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guo5min">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guo5min">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">肝癌:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guo6min" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guo6min">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guo6min">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- <hr/>
- <h5 style="line-height: 1.2em;top: 5px;position: relative">大肠癌:</h5>
- <div class="mui-input-row" style="padding-left: 5px;padding-top: 5px;">
- <input type="radio" name="guo7min" >
- <span style="font-size: 0.8em;color:grey;">从未患过</span>
- <input type="radio" name="guo7min">
- <span style="font-size: 0.8em;color:grey;">曾经患过</span>
- <input type="radio" name="guo7min">
- <span style="font-size: 0.8em;color:grey;">目前患有</span>
- </div>
- </div>
- </div>
- <script src="../../js/mui.min.js"></script>
- <script>
- mui.init({
- swipeBack: true //启用右滑关闭功能
- });
- //语音识别完成事件
- </script>
- </body>
- </html>
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