Thank you for purchasing Flex Able. We hope you enjoy this product.
Please fill out the following short survey. We will place you on our Flex Able mailing list and inform you of new products and special offers.


Fields marked with * are required.
 Name:   *First:   *Last:
Country:United States
*Address 1:
Address 2:
*City:  *State:   *Zip Code:
Phone: () -
*E-Mail:
Year of Birth:
Gender
Male Female

How did you first learn about Flex Able products?
Media Sources
Magazine ad
Newspaper coupon
In-store display
Radio
TV 		Saw packaging on shelf
Friend/family/colleague
Healthcare professional (doctor, nurse, etc.)
Internet
Other:

Which Flex Able product did you purchase?
Products
Orange Drink Mix
Chewables
Maximum Strength 		Advanced Bone & Joint Formula
Shellfish-Free Formula
Other:

Where did you purchase this Flex Able product?
Store Name

Will you purchase this product again?
Repurchase
Yes No

Please list 3 magazines you read.
Magazines
1 2 3
     

Please list 3 websites you visit for health information.
Websites
1 2 3
     

What other supplements are you currently taking?
Supplements

What specific benefits did you notice from taking this Flex Able product?
Benefits

Have you tried any other Flex Able products?
Other Products
Yes No

If yes, which other Flex Able products have you tried?
Tried
Orange Drink Mix
Chewables
Maximum Strength 		Advanced Bone & Joint Formula
Shellfish-Free Formula
Other:

Any other comment regarding Flex Able products?
Comments

May we use your name and comments for advertising and promotional purposes? You will be contacted first.
Yes No

Would you like to subscribe to our mailing list?

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