Jet Lag

Is there a three hour or more time gap between your home and your destination?
Do you require assistance?

Yes

No

Are you currently receiving any treatment or under any medication?
Please provide more information of the medication being used if any.

Yes

No

If female or transmale, are you currently pregnant, breastfeeding or planning to do so?
Please select your option

Presently Pregnant

Presently Breastfeeding

Planning on getting pregnant

Neither Pregnant nor Breastfeeding

What is your biological gender?
Please select your option

Male

Female

Transmale (Born a female)

Transfemale (Born a male)

Can you relate to any of the following?
You have an underlying medical condition You've been through a major surgical procedure You have allergic reactions You have cardiovascular conditions or might have had suffered a stroke You suffer from a low liver or kidney function

Yes

No

Did you know that?
If your condition does not improve after four weeks, you should consult a doctor. You must not use Enstilar on broken skin or beneath a bandage. You cannot use Enstilar aound the eyes or on the eyelids.

Yes

No

Have you been examined with any auto immune disease before?
It could be Crohn's disease, Ulcerative Colitis, Lupus, Rheumatoid Arthritis, among others

Yes

No

Are you on any of the following medications?
Fluvoxamine Benzodiazepines Antidepressants of any kind Any sleep-inducing medication Do you require assistance?

Yes

No

Do you have a history of using Melatonin?
If so, how successful was it?

Yes

No

We require additional information during the COVID-19 epidemic in order to execute your transaction in a timely manner.
Could you please tell us the reason for your trip? For which duration will you be on the road? Are your flights already booked?

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Jet Lag

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