diff --git a/application/third_party/order/views/confirm_order.php b/application/third_party/order/views/confirm_order.php
index 6c0c5e70..a916af4c 100644
--- a/application/third_party/order/views/confirm_order.php
+++ b/application/third_party/order/views/confirm_order.php
@@ -509,6 +509,7 @@
                                                       Vegetarian food for
                                                       Different arrival/departure information for
                                                       Special Assistance/Disability Needs for Customers
+                                                      Any surgery recently
                                                       "></textarea>
                                         </div>
                                         <div class="col-xs-24 btn-lg"></div>