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First name
*
Last name
*
Email
*
Phone
*
Age Group
18-40
40-50
51-60
61-70
70+
How long have you been using Infla-650?
Less than 6 months
6 months to 1 year
1-2 years
More than 2 years
What were the main reasons for using Infla-650?
Joint pain
Muscle pain
Inflammation
Arthritis
Rheumatoid arthritis
Osteoarthritis
Psoriatic Arthritis
Lupus Arthritis
Gout
Other
How effective do you feel Infla-650 has managed your inflammation and/or pain?
Are there any other health conditions we can assist you with?
Diabetes
Liver issues
High blood pressure (Hypertension)
Heart disease
Osteoporosis
Skin conditions (e.g., eczema, psoriasis)
Respiratory issues (e.g., asthma, COPD)
Kidney disease
Digestive issues (e.g., IBS, GERD, Ulcerative colitis)
Collagen deficiency (skin, bones)
Vision problems (e.g., cataracts, glaucoma)
Hearing problems
Cognitive decline (e.g., memory loss, dementia)
Sleep disorders (e.g., insomnia, snoring)
Other
Combination Product Preferences (Which combination of health support would you find most beneficial?)
Inflammation + Joint Support
Inflammation + Diabetes Management
Inflammation + Liver Support
Inflammation + Collagen Support
Inflammation + Heart Health
Inflammation + Bone Health (e.g., osteoporosis)
Inflammation + Skin Health
Inflammation + Digestive Health
Inflammation + Respiratory Support
Inflammation + Cognitive Support (e.g., memory, brain health)
Inflammation + Eye Health
Inflammation + Sleep Support
Inflammation + Cramps
Inflammation + Eczema
Inflammation + Psoriasis
Other
How important is it for you to have a customizable solution that addresses multiple health concerns?
Very important
Somewhat important
Neutral
Not important
How likely are you to continue using a product .
Very likely
Somewhat likely
Neutral
Unlikely
Would you be interested in receiving information about new products or updates related to joint support, inflammation, or other health concerns?
Yes
No
Suggestion for future products
Submit
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