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 [group group-919] [/group] HEARD ABOUT US? FROM FRIENDOLD PATIENTSOCIAL MEDIAOTHERS IN BANGALORE TRANSPORT AND STAY HAVE YOU ARRANGED HOTEL NOYES [group hotel_name][/group] DRIVER NOYES [group driver] [/group] 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