Patient Questionnaire MALEFEMALE INDIAUAEQATARKUWAITSAUDI ARABIAOMANBAHRAINSINGAPOREMALAYSIAMALDIVESBRUNEIEUROPEAN COUNTRIESUSACANADAOTHERS TRAVEL DETAILS DATE OF ARRIVAL IN BANGALORE DATE OF DEPARTURE FROM BANGALORE REPORTS WHAT DOCUMENTS DO YOU HAVE? XRAYMRIHOSPITAL REPORTS EARLIER VISITS HAVE YOU VISITED US BEFORE? NOYES HEARD ABOUT US? FROM FRIENDOLD PATIENTSOCIAL MEDIAOTHERS IN BANGALORE TRANSPORT AND STAY HAVE YOU ARRANGED HOTEL NOYES DRIVER NOYES ASSISTANCE DO YOU NEED ANY PROFESSIONAL ASSISTANCE IN BOOKINGS AT HOTELS/SERVICE APARTMENTS YESNO TRANSPORT IN TAXI WITH PROFESSIONAL DRIVER YESNO ANY OTHER HELP OR CLARIFICATION OR ADVICE YESNO WHAT TREATMENTS DO YOU WANT? BONE/JOINTS YES NERVES YES OZONE/CHELATION YES STEM CELLS YES OSTEOPOROSIS YES STROKE REHABILITATION YES ANY OTHERS YES