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neuroaid

Detailed Enquiry


Make the most out of your precious recovery time by sending us a detailed enquiry.

This form allows the NeuroAiD product specialists to better understand your specific case in order to give you an appropriate answer. Filling up this detailed enquiry will take you only one minute and NeuroAiD well trained and dedicated staff will come back to you within 24 business hours.
(Please note that fields with * are mandatory)

STROKE DETAILS

Who did suffer from a stroke? Myself A dear one
Patient's Age :
When did the stroke occur? *
What type of stroke was it? Ischemic Hemorrhagic

 
What was the cause of the stroke?

 
What disabilities did it cause ?
Full Hemiplegia (arm, leg and face) Partial Hemiplegia (arm or leg or face)
Aphasia (speech loss) Visual Loss
Sensory Loss of one side of the body Memory Loss

 
How much is the patient independent?

REHABILITATION

Is it still ongoing? Yes No

 
Duration Less than 3 months Between 3 and 6 months
Between 6 and 12 months More than a year

 
Intensity : Less than once per week Once to twice per week
Three to five times per week Everyday

 
How much of the disabilities have been recovered?

ENQUIRIES

What questions do you have about NeuroAiD™?

GENERAL INFORMATION
(Please fill in with your personal information to receive your personalized answer by e-mail)

Newsletter subscription:

(Before submitting your enquiry, please note that your doctor is best positioned to advise you on the best suited treatment for your individual situation. In case of doubt always seek advice from your doctor)