{% extends "global/Page.html" %} {% block title %}Treatment{% endblock %} {% block content %}

Please enter your prescribed treatment level. The amount can be between 0 and 10, inclusive. You may refer to the table below for the equivalent patient benefits and payment.

{% formfields %}
Treatment Level Equivalent Patient Benefit Payment You Get (Experimental Dollars)
0 50 0
1 60 19
2 70 36
3 80 51
4 90 64
5 100 75
6 100 84
7 100 91
8 100 96
9 100 99
10 100 100
{% endblock %}