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


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 Name:   *First:   *Last:
Country:United States
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Year of Birth:
Gender
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How did you first learn about Sootherbs 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 Sootherbs product did you purchase?
Products
Cherry Flavor Lemon Flavor Chest, Sinus & Throat

Where did you purchase this Sootherbs 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 cough and cold supplement do you take?
Supplements

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

Have you tried any other Sootherbs products?
Other Products
Yes No

If yes, which other Sootherbs products have you tried?
Tried
Cherry Flavor Lemon Flavor Chest, Sinus & Throat

Any other comment regarding Sootherbs products?
Comments

May we use your name and comments for advertising and promotional purposes? You will be contacted first.
Approval Yes
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Would you like to subscribe to our mailing list?
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No