You can use the form to contact Dr. Lutz Wilden to get in touch. Your data will be temporarily stored on our server and deleted again within a period specified by the data protection regulations.
Alternatively, you can download the form below as a PDF and print it out so that you can send your data by post, fax or email.
Below you can see our questionnaire, which we make available for you to download as a PDF.
You can print it out, fill it in and send it by post or fax. A scan can also be sent by email.