Relaxing the minds of children on the Autism Spectrum
Thank you for your interest in purchasing the Mente Autism device for your child.
Mente Autism is a CE certified medical device that uses neurofeedback and is intended for use by children on the Autism Spectrum.
It is important that the child meets certain criteria prior to using the device.
Please fill in the following sections. Your answers will be assessed to indicate if the child is eligible to use Mente Autism.
If you are unsure about the information you are providing, kindly confirm the details with your doctor prior to proceeding with this form.
Thank you for submitting your details and filling in our pre-sales assessment. Based on the replies you provided, your child IS eligible to use Mente Autism.
We have sent you an email confirming your child’s eligibility and details how to obtain Mente Autism.
Meanwhile, your email address and a Customer ID have been forwarded to our sales team / authorized representative. Should you have any questions kindly contact us on firstname.lastname@example.org.
Thank you for submitting your details and filling in our pre-sales assessment. Based on the replies you provided, it seems that your child IS NOT eligible to use Mente Autism
As this is only an assessment, we recommend that you speak to a medical professional about Mente Autism and seek his/her professional advice.
Should you have any questions about the device kindly contact us on email@example.com.
Thank you for completing the pre-sales assessment. If all the details are correct, click on Submit. If you would like to review or change any details, click on Review.