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    © 2005-2006 Ondevit

    Your comment on the Ondevit treatment

    For the needs for the Ondevit statistics and our relations with the insurance companies, it is essential to have a total vision of the results. This is why we ask you to fill this list of questions and to send it to us. Thank you

    Name and city of your Ondevit® therapist:

    How did you ear from the Ondevit® method?

    For which symptoms did you consult the above mentionned Ondevit® therapist?

    I have / I have not* consulted a  medical doctor /specialist.
    Yes
    No
    If yes. His diagnosis was?

    How many Ondevit® treatments did you get?
    Ondevit treatments
     
    What were the results? The symptoms remained
    Some symptoms diminished
    All symptoms diminished
    Some symptoms disappeares, other not
    All symptoms disappeared

    Do you have remarks about the Ondévit® treatment?

     
    Did you consult a medical doctor/specialist after the  Ondévit® treatment Yes
    No
     
    Wat waren de bevindingen van de arts ten aanzien van uw klachten-ziekte?

     
    Did you use drugs before the Ondevit®? Yes
    No
     
    What is your drugs quantity after the Ondevit® treatment? The same
    diminished a little bit
    Strongly diminished
    I do not use drugs anymore
     
    Are you still treated by an Ondevit® therapist? Yes
    No
     
    Before the Ondevit® treatment I consulted my medical doctor/specialist time(s) a year

    After the Ondevit® treatment I consult my medical doctor/specialist time(s) a year
     
    Is your treatment paid back by an insurance company?


    U have the right send this enquiry anonimously!
     
    Name
    E-mail Adres
    Adres
    Zip Code
    City
    Country
    Phone number
    Fax number



    The discoverer of the Ondevit® method , Claude Onillon, reads all evaluation forms we receive. He can with this information have an idea of the results achieved with Ondevit®.

    The Ondevit® Foundation will with this forms update the statistics and use it in her discussions with insurance companies paying the Ondevit® treatment back. If you give the name of your Ondevit® therapist he will get a copy of your evaluation form to.

    You can E-mail this form or send it by post to the Ondevit® Foundation.

    We remain at your service to help you better!

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    All rights reserved Stichting Ondevit® Nederland

     
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