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Patients & Visitors > Your experience

Your experience

Would you like to share your personal experience with visitors to our Internat site? Send us a short text via the form below. We will be very happy to publish it. Thank you in advance!

Surname

 *

First name

 *

Town

 *

Email address

 *

My experience

 *

Length of stay

 *

 

I accept that my experience be published anonymously on the site of the CRR

Yes  No *

accept that my experience be published anonymousl in brochures of the CRR

Yes  No  *

 

* These fields must be completed

 

 

 

 

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