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Editing the Research Form

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I got a suggestion, and put some editing in on the form.. Please feel

free to comment...

This will be sent out every 2 weeks to you, so that you can use it as

a guide to file your results. Everything from mosquito bites to

terminal cancer or AIDS is fair game here, so ... c'mon and let's

write it up!

RESEARCH FORM--please use for reporting your results. None of this

is mandatory, but it would help us if you would please fill in as

much as you can. You should file one of these about every month or

two during treatment, and once it's cleared up, then once a year for

a few years, so we have the followup information.

Subject info

a. Age

b. Illness and diagnosis if any

c. Electrical treatment problems: electrical implants, pacemakers,

etc

Experimental microelectricity

a. What device was used?

b. How many minutes per session, how many sessions per day?

c. How long did treatment last (days, weeks, months)?

e. Placement of electrodes?

f. How often were electrodes reversed?

Medical treatment

a. What medications or other treatment currently?

b. If none, what was proposed by doctor or other provider?

c. What treatment in the past?

d. Any treatment effective so far?

e. Any serious side effects to other treatments?

Results

a. Symptoms (better, worse, unchanged)

b. Signs (medical tests such as blood tests, etc) better, worse,

unchanged

g. Electrical treatment side effects, phys, mental

h. What do you see as advantages/drawbacks over other treatments?

i. Overall opinion of the treatment, any benefits besides disease

treatment?

j. Would you recommend it (or not) to others

k. Lessons learned for benefit of next user of treatment

l. Anything to add, people who helped, etc

bG

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