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PHYLA Provider Feedback
Loved your samples? Tell us how it’s going — and we’ll send more!
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Name
*
Your answer
What is your email?
Your answer
Practice Name
*
Your answer
Have you or your patients tried Phyla?
*
Yes, on myself
Yes, patients have
No, not yet
Are you recommending Phyla to patients?
*
Yes
Not yet
No
Quick thoughts on your experience so far?
Your answer
What would you like us to send?
*
More trade-size samples
Serum sample sachets
Info on wholesale/affiliate
Nothing for now
Other:
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