ISCELITELJ - HEALER :: iscelivanje, healing, bioenergija, bioenergy, bioenergoterapeut, therapist, prana, reiki, ki, alternativna medicina, alternative medicine, ezoterija, esoteric, meridijani, meridians, parapsihologija, psychical, supernatural, radiestezija, akupnuktura, acupuncture, travarstvo, medicinal herbs, hipnoza, hypnosis

05:02

Special contents:

Dear clients (users therapeutic services), we ask you to fill in this inquiry but only after ending your therapy and to send us by e-mail or fax.

All your information is confidential and your anonymity is guarantee.

Here you can take the inquiry in .doc(Word) .or in pdf (Acrobat) format.

Or you can write it now and send us:

INQUIRY:

For users who take therapeutic services

Data from inquiry will be use only to make therapeutic services better and for improvement the users due.

Data of yours therapist:
*First and last name:
Cooperatio:
Adress:
City:
Phone:
*Therapy:	* Compulsory items
Yours data:
*First and last name:
Passport data:
Adress:
City:
Phone:
Mob. phone:
*E-mail:
Country:
Therapist was recommended me by:
	a) the doctor b) advertisement c) friends d)
On the therapy I was:
	a) once b)a lot of times c) therapy was going on distance d) therapy needs permanently presence e) in period from and till
One therapy continue: and it’s cost
*On therapy I come because of illness/problems:
	*Compulsory items
And because: a) official medicine can’t help me b) I avouch only natural/energetic/mental helping aspects c)
At first the diagnosis assigned me: a) the doctor b) therapist c) d) I don’t have diagnosis still
*If the diagnosis assigned the therapist he/she did it at this way:
	*Compulsory items
Is your therapist also a qualified doctor? a) YES, he is. b) NO, he is not.
By the results of therapy I am satisfied:
	a) fully b) partialy c) not satisfied at all d) I was cheating
I am satisfied by:
	a) the lengthy of therapy b) well price c) good results d) therapeutic knowledge e)
I am not satisfied:
	a) by the lengthy of therapy b) because the price is such high c) because I don’t have any results d) because the results was partialy e) therapist treated me: unprofessionally unconscientiously nonhuman f)

“Perfekt Derma”

Novi Sad
Gajeva 17 / 18

021/ 451-397
064/3200-502

Zakazivanje tretmana unapred

Tretmane radi:
-Dragan D. Vojinović

Obuka za terapeute se vrši dva puta nedeljno za 12 polaznika.