Thank you for purchasing Vitaball. We hope you are enjoying this product.
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Name:
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What year were you born?
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Number and ages of children in household
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Ages 13 to 17
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Ages 18+
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How did you first learn about Vitaball?
Media Sources
Magazine ad
Television ad
In-store display
Sampled at an event
Friend/family/colleague
Saw packaging on shelf
Healthcare professional (doctor, nurse, etc.)
Newspaper coupon
Newspaper / TV article
Radio
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Other
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Which Vitaball product did you purchase?
Product
Regular (blue canister)
Extra C (yellow canister)
Where did you purchase this Vitaball product?
Store Name
Which, if any, of these other brands of children's multi-vitamins have you purchased in the past six months?
Other Vitamins
Yummi Bears
Flintstones
L'il Critters
Children's Choice
Poly Vi Sol
Healthy Moments (Arthur)
Sundown Kids (Marvel Super Heroes/Spiderman)
Disney (Winnie the Pooh)
One-A-Day Kids (Scooby Doo, Bugs Bunny, Powerpuff Girls, Justice League, etc.)
Centrum Kids (Rugrats, Sponge Bob, Nickelodeon, Jimmy Neutron, etc.)
Store brand/generic
Other:
Please list 3 magazines you read.
Magazines
1
2
3
Please list 3 television shows you watch.
TV Shows
1
2
3
Please list 3 websites you visit for health information.
Websites
1
2
3
Will you purchase Vitaball again?
Repurchase
Yes
No
Other comments about Vitaball:
Comments
May we use your name and comments for promotional purposes?
(You will be contacted first.)
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