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| Person Information |
| First Name * |
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| Last Name * |
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| Please rate following responses 10=best; 1=worst
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| Customer service responsiveness | |
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| How well did the product work for you? | |
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| Message on how to use the product clear? | |
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| Personal emails contain useful inforamation? | |
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| Newsletter information useful? | |
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| Responsiveness when you request specific information | |
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| Would you recommend TheraLife products to your friends? | |
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| Any comments to help us improve our services in the future | |
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www.theralife.com Call to talk to a doctor toll free 1-877-917-1989 Send inquiries to: info@theralife.com |