olinek@olinek.com.pl
+48 22 120 20 50
+48 22 559 21 37
This survey is dedicated to those who have already been patients at Olinka. By completing it, you will help us better tailor the schedule to your preferences. We invite you to sign up for a session at Olinka:
Patient's Full Name
Your Email Address
Phone Number
Child's Weight in Kilograms
Child's Height in Centimeters
Preferred Start Date of Session Days we don't work 2024: 15.08, 01.11, 11.11, 20.12 - 06.01.2025 2025: 21.04, 01.05, 08.06, 19.06, 15.08, 01.11, 11.11, 22.12 - 05.01.2026
Preferred End Date of Session
We operate from 8 AM to 5 PM - What hours can your child attend sessions? Check the hours (multiple choice field) 8-1010-1212-1414-16
Does your child need breaks between therapies? YesNo
Please provide details about the break. How long should it last, and at what time should it be?
Which therapies does your child want to participate in during the session? Choose therapies and the number of hours.
Physical Therapy / Functional Therapy
Choose how many hours per day: 1h1h + 1h1.5h1h + 1.5h1.5h + 1.5h2h2h + 1h2h + 1.5h2h + 2h2.5h2.5h + 1.5h
NDT Bobath Baby for Premature and Infants
Choose how many hours per day: 1h1h + 1h1.5h
Hand Therapy
Choose how many hours per day: 1h2h3h
Sensory Integration
Choose how many hours per day: 1h2-3 times a week
Strength Training
Choose how many hours per day: 1h1.5h2h2.5h
Neurologopedist
Choose how many hours per day: 30 min1h2-3 times a week
Vision Therapy
Psychologist
G-EO System Prof. A. Tomatis Therapy Stage I Prof. A. Tomatis Therapy Stage II or subsequent Dog Therapy Prodrobot / Innowalk
Hyperbaric Chamber Osteopath Stochastic Resonance - Additional +40 PLN to the basic therapy price
Do you have any preferred therapists? If yes, please mark them on the form (select at least a few therapists) Yes, I have preferred therapistsNo, match therapists to my schedule
Marcin AdamusAgnieszka BorysiakPaulina JaszczukKatarzyna JuszkowskaAleksandra KrawczykDaniela KowalickaKinga Niewczas – PerkowskaJustyna ParuzelAleksandra RosłoniecElżbieta RybarczykAnna StęplowskaNatalia SzokalskaKarolina Gromak-KalinowskaPaula ZachariaszSonia GachJoanna GrzejszczykMartyna StalaLuiza MichniakAdrian PaciepnikKatarzyna ChmielewskaAleksandra RusińskaNatalia WyszywaczJulia HincKatarzyna BurchardPaulina GiezekIwona Piłat
NOTES – important for the next session that the therapist should know
PROMOTIONAL CODE