Customer Survey Form In our efforts to improve our product, we would
appreciate, if you could fill out this
survey.
Please mail survey with your
next order or use our website and take
$1.00 off.
(Items With " * " Are Required) |
1. Which physician recommended SINUS RINSE™ to you?
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2.
How did you obtain
NeilMed's SINUS RINSE™
system?
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3. Of the following choices, which is your current method of nasal rinse? |
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4. How do you compare
our product SINUS RINSE™
to the above methods of nasal rinse? |
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5. How would you rate this product? |
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6. Would you recommend this product to others? |
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7. Will you be interested in buying additional SINUS RINSE™
mixture packets? |
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8. What do you like best about SINUS RINSE™?
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9.
Did your condition improve by using
SINUS RINSE™? |
10.
With NeilMed's SINUS RINSE™
system, was there a change
in:
A. The use of
Antihistamines? |
B.
The use of Corticosteroid
Nasal Sprays? |
C.
Asthma related symptoms? |
| 11.
Did frequency of sinus
infections or colds,
reduce with the use of SINUS RINSE™? |
12.
Any additional Comments: Thank you for filling out this survey. Please click on the "SUBMIT" button to send this survey on-line OR print then mail or fax to:
NeilMed Products, Inc., 1221 Farmers Lane, Suite 500, Santa Rosa, CA 95405
TEL: 707-525-3784 | FAX: 707-525-3785 | TOLL FREE: 877-477-8633,
866-SINUSRX |
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