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Home
Product
Experiences
About us
News
Team
Careers
Contact
English
Nederlands
Deutsch
Italiano
Product
Experiences
About us
News
Team
Careers
Contact
Request a trial
English
Nederlands
Deutsch
Italiano
Product
Experiences
About us
News
Team
Careers
Contact
Request a trial
English
Nederlands
Deutsch
Italiano
REQUEST A TRIAL
The STIL anti-tremor orthosis will become available soon.
Complete the form below and we’ll contact you as soon as possible.
Request a trial
What describes you the best?
I have tremors
I know someone with tremors
I am a medical professional
Enter your details
First name
Last name
Organization
Gender
Male
Female
Other
Date of birth
Email
Phone number (WhatsApp number)
Country
Netherlands
Belgium
Germany
Italy
United States
United Kingdom
Other
Write down your country
ZIP code
Some questions about your tremors
Tremor disorder (select one)
Essential tremor
Parkinsons
MS
Dystonia
Orthostatic tremor
Cerebral tremor
Physiological tremor
Functional tremor
Other (Please describe in comments section)
Are you diagnosed by a specialist?
Yes
No
In which arm is tremor bothering you the most?
Right
Left
Both
What is your dominant arm?
Right
Left
Other comments
Permission for data use
Yes, I give permission to STIL to use my data entered above for reseach and distributed sales according to the
Privacy Policy
.
Keep me up to date
Yes, I give permission to STIL to send me product updates.
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