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Questionnaire for Counseling - cum - Treatment by Correspondence (Postal Treatment)

In general cases, Correspondence / Postal Treatment is given. The questionnaire is hereby send to the patient by Me. A Nature Cure Hospital (Prakritik Chikitsa Kendra). Please fill & reply it sincerely & honestly . Don't hide any thing. The monthly counseling fees are Rs. 500/- *(for Indians) & 500 Dollars (for foreign nationals). All letters / e-mails / phone calls are replied during this period. Kindly always quote the subscription / registration number for any correspondence / communications.


The format of Questionnaire is given bellow. Get the print out of this & fill it, scan it & send  it through e-mail along with the requisite fees.

















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