98 ALIVE INHALER FEEDBACK FORM

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98 ALIVE INHALER PRODUCT FEEDBACKS

Use for *

Manage flu symptoms

Manage blocked nose

Manage runny nose

Manage headache

Other

Do you have any pre-existing medical conditions? *

Yes

No

Please briefly described your pre-existing medical conditions:

Rate the scent

Rate its effectiveness

Will you recommend this product to your friends and families?

First name

Last name

Email

Thanks for your feedback!

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