Neuraptine Clinical Data Survey
Thank you for scanning in to see us. Below is a very short survey that will help us find new ways to improve, and to help make your life better. We sincerely value your feedback!
Sign in to Google
to save your progress.
* Indicates required question
1. What is your age group?
2. What is your gender?
Prefer not to say
3. What body part did your physician prescribe Neuraptine for?
4. How effective is the cream in helping with your pain and aches?
5. Have you experienced relief after applying the cream?
6. How soon after applying the cream do you experience relief?
Within the hour
Between 1-2 hours
7. How often or how many times per day are you applying the cream according to your physicians direction?
1-2 times per day
3-4 times per day
5-6 times per day
8. On a scale of 1-5, with 5 being most likely, would you recommend Neuraptine to a friend if their physician prescribed it?
Not at All
If you have any comments or testimonials, please let us know below!
Would you like to be on our mailing list? Your information will be kept private, never sold, and used solely for you to be updated about Neuraptine.
Would like a free gift card? (If answering yes, a gift card will be sent through email within the next few weeks)
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service