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Help us protect our surf spots by filling in the below form about any health problems you have experienced after a surf / kiteboard / swim / etc,  in the ocean in The Netherlands.

Details Health Problem
Click on the complaints you experienced
Have you visited a doctor with regard to the above health complaints?
If so, has the doctor confirmed that there is a link between the health complaints and the surf visit?
May we use your data for further research and / or may we contact you if necessary?

Thank you for filling out this form!

These files & their contents will not be published without the persons permission. We may use a summary of cases but would not use peoples actual names without permission.

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