If you are using one of our orgone zappers or simple zappers, we are interested in your feedback!
Please take a moment, print out this form and fill it out for faxing or copy and paste it into an email and send to zapperfeedback@orgonise-africa.net
Zapper Questionaire
Please tick box where appropriate and specify where asked to
Name:*_________________________
*Orgonise Africa will only use your feedback in anonymised form and for statistical evaluation. Your Name will not be shared with anybody else. It’s just for me to check that you are a real person. If you bought the zapper for someone else, let that person fill out this form please.
I have an
? Orgon Zapper Standard
? Orgon Zapper El Silverado
? Orgone Zapper El Dorado
? Simple Zapper
I have it since (Date) _____________________
I am using the zapper
? daily
? only whenever I feel sick
? irregularly
? not at all
? only to drive SP crystal or Mini Wand
Before I started using the zapper, I was
? Frequently ill
? Chronically ill (please specify)_________________________________
? Diagnosed HIV positive but generally healthy
? Diagnosed HIV positive and suffering from “AIDS” symptoms
? Dignosed with Cancer (please specify) _______________________________
? Low on energy / depressive
? Generally healthy
After using the zapper I noticed the following difference:
? No difference at all
? Feeling worse (please specify)_________________________________
? Less sicknesses like flu, cold etc.
? Chronical illness has gotten better
? Chronical iIlness has completely dissapeared
? HIV+ status now converted to HIV-
? AIDS symptoms improved, less severe
? AIDS symptoms dissapeared completely
? Cancer gotten better (smaller tumor size, lower blood count, please specify)
_______________________________________________________________
? Cancer completely dissappeared
? More energy on a daily basis
? No more depression
While using the zapper I also did:
? change my diet to a more healthy regime
? stop drinking alcohol or reduced alkohol intake significantly
? stop drinking carbonated soft drinks
? stop taking artificial sweeteners
? use Orgonise Africa’s “Total Body Cleansing Pack” as prescribed
? have other orgone generating product in the house (please specify)
________________________________________________
? use other herbal cleansing products (please specify) __________________
? make a liver cleanse according to Dr. Hulda Clark
? receive radiation “therapy”
? receive chemo “therapy”
? take antiretrovirals
? other medication or alternative healing modality (please specify) _______________________________________________________
I wish to make the following general comment:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
please fax this form to +27-11-648 46 16 or scan and email to
You can of course complete this form electronically as well and mail it straight back.
Thanks for taking your time, it’s highly appreciated!
Georg Ritschl
orgonise-africa.net