diff --git a/sql/manual_changes/2026-06-11-update-screening-options-unique-ids.sql b/sql/manual_changes/2026-06-11-update-screening-options-unique-ids.sql
new file mode 100644
index 00000000..32805694
--- /dev/null
+++ b/sql/manual_changes/2026-06-11-update-screening-options-unique-ids.sql
@@ -0,0 +1,66 @@
+-- Update M_ScreeningFormOptions: id option dibuat unique per form
+-- Format id: f{formID}o{optionIndex}, contoh form 1 opsi 1 = f01o01
+
+UPDATE one_klinik.m_screening_form SET M_ScreeningFormOptions =
+  '[{"label":"Ya","value":false,"id":"f01o01"},{"label":"Tidak","value":false,"id":"f01o02"}]'
+  WHERE M_ScreeningFormID = 1;
+
+UPDATE one_klinik.m_screening_form SET M_ScreeningFormOptions =
+  '[{"label":"Ya","value":false,"id":"f02o01"},{"label":"Tidak","value":false,"id":"f02o02"}]'
+  WHERE M_ScreeningFormID = 2;
+
+UPDATE one_klinik.m_screening_form SET M_ScreeningFormOptions =
+  '[{"label":"Ya","value":false,"id":"f03o01"},{"label":"Tidak","value":false,"id":"f03o02"},{"label":"Tidak Tahu","value":false,"id":"f03o03"}]'
+  WHERE M_ScreeningFormID = 3;
+
+UPDATE one_klinik.m_screening_form SET M_ScreeningFormOptions =
+  '[{"label":"Ya","value":false,"id":"f04o01"},{"label":"Tidak","value":false,"id":"f04o02"},{"label":"Belum Pernah Divaksin","value":false,"id":"f04o03"}]'
+  WHERE M_ScreeningFormID = 4;
+
+UPDATE one_klinik.m_screening_form SET M_ScreeningFormOptions =
+  '[{"label":"Ya","value":false,"id":"f05o01"},{"label":"Tidak","value":false,"id":"f05o02"}]'
+  WHERE M_ScreeningFormID = 5;
+
+UPDATE one_klinik.m_screening_form SET M_ScreeningFormOptions =
+  '[{"label":"Ya","value":false,"id":"f06o01"},{"label":"Tidak","value":false,"id":"f06o02"},{"label":"Tidak Berlaku","value":false,"id":"f06o03"}]'
+  WHERE M_ScreeningFormID = 6;
+
+UPDATE one_klinik.m_screening_form SET M_ScreeningFormOptions =
+  '[{"label":"Layak","value":false,"id":"f08o01"},{"label":"Tidak Layak","value":false,"id":"f08o02"},{"label":"Tunda","value":false,"id":"f08o03"}]'
+  WHERE M_ScreeningFormID = 8;
+
+UPDATE one_klinik.m_screening_form SET M_ScreeningFormOptions =
+  '[{"label":"Ya","value":false,"id":"f10o01"},{"label":"Tidak","value":false,"id":"f10o02"},{"label":"Tidak Tahu","value":false,"id":"f10o03"}]'
+  WHERE M_ScreeningFormID = 10;
+
+UPDATE one_klinik.m_screening_form SET M_ScreeningFormOptions =
+  '[{"label":"Ya","value":false,"id":"f11o01"},{"label":"Tidak","value":false,"id":"f11o02"},{"label":"Tidak Tahu","value":false,"id":"f11o03"}]'
+  WHERE M_ScreeningFormID = 11;
+
+UPDATE one_klinik.m_screening_form SET M_ScreeningFormOptions =
+  '[{"label":"Ya","value":false,"id":"f12o01"},{"label":"Tidak","value":false,"id":"f12o02"},{"label":"Dicurigai","value":false,"id":"f12o03"}]'
+  WHERE M_ScreeningFormID = 12;
+
+UPDATE one_klinik.m_screening_form SET M_ScreeningFormOptions =
+  '[{"label":"Ya","value":false,"id":"f13o01"},{"label":"Tidak","value":false,"id":"f13o02"}]'
+  WHERE M_ScreeningFormID = 13;
+
+UPDATE one_klinik.m_screening_form SET M_ScreeningFormOptions =
+  '[{"label":"Ya","value":false,"id":"f14o01"},{"label":"Tidak","value":false,"id":"f14o02"}]'
+  WHERE M_ScreeningFormID = 14;
+
+UPDATE one_klinik.m_screening_form SET M_ScreeningFormOptions =
+  '[{"label":"Ya","value":false,"id":"f15o01"},{"label":"Tidak","value":false,"id":"f15o02"}]'
+  WHERE M_ScreeningFormID = 15;
+
+UPDATE one_klinik.m_screening_form SET M_ScreeningFormOptions =
+  '[{"label":"Kooperatif","value":false,"id":"f16o01"},{"label":"Cukup Kooperatif","value":false,"id":"f16o02"},{"label":"Tidak Kooperatif","value":false,"id":"f16o03"}]'
+  WHERE M_ScreeningFormID = 16;
+
+UPDATE one_klinik.m_screening_form SET M_ScreeningFormOptions =
+  '[{"label":"Ya","value":false,"id":"f19o01"},{"label":"Tidak","value":false,"id":"f19o02"}]'
+  WHERE M_ScreeningFormID = 19;
+
+UPDATE one_klinik.m_screening_form SET M_ScreeningFormOptions =
+  '[{"label":"Layak","value":false,"id":"f20o01"},{"label":"Tidak Layak","value":false,"id":"f20o02"},{"label":"Tunda","value":false,"id":"f20o03"}]'
+  WHERE M_ScreeningFormID = 20;