Fields marked with (*) are mandatory.
Are you currently receiving treatment or taking regular prescribed medication for any medical conditions (other than for common cold or flu)?
Have you ever been diagnosed with, consulted a medical practitioner or been given treatment for any of the following conditions: Heart attack, chest pain, high cholesterol, stroke, hypertension, diabetes, cancer, tumour or abnormal growth, hepatitis, HIV infection or AIDS, any disease or disorder of the heart, brain or nervous system, eyes or ears, thyroid, lung or respiratory system, liver, digestive system or gastrointestinal tract, kidney or urinary system, genital organs, spine or joints, immune system, blood disorder, hereditary disease or congenital abnormality, mental health or psychiatric illness, physical impairment or deformity, drug or alcohol abuse?
In the past 2 years, have you ever been hospitalised (except for giving birth), undergone any surgical operation, consulted a specialist or had an abnormal result from a medical investigation or diagnostic test or been advised to have any of these in future?
Bonus Questions (Raya Selamat Bersama Keluarga Campaign)
Answering these 2 questions will entitle you to be the Weekly Winner and Bonus Winner. Click here to read the Terms & Conditions.
Q1: How many additional family members get to enjoy the benefits under HospeeFamily?
Q2: Describe within 50 words, how you and your family will safely celebrate Raya this year? (You may answer either in English or Bahasa Malaysia)
You must disclose all material facts correctly. Your application may be rejected if there is any misrepresentation, invalid voucher code, or if your application didn’t pass our customer screening against sanction listing.
Please enter the Captcha characters.