Please complete patient survey after 6 weeks of VitacremeB12 use.
There are some error(s). Please see each marked section below.
Required Question(s)
VitacremeB12 is compatible with all other cosmetic products.
1.
Provide your contact information and receive VitacremeB12 updates and product promotions.
By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.
First Name:
Last Name:
Email Address:
emailaddress@xyz.com
2.
Age
18 - 24
18 - 24
25 - 34
25 - 34
35 - 44
35 - 44
45 - 54
45 - 54
55 - 64
55 - 64
65 or older
65 or older
3.
Please rate the following questions on the results you have obtained after using VitacremeB12 for two weeks. The scale is 1 to 10, with 1 being no change, 5 being a noticeable improvement, and 10 being excellent improvement.
No Change 1
2
3
4
5
6
7
8
9
Excellent 10
Improvement of Fine Wrinkles (around eyes, upper lip)
Deeper Lines (forehead and sides of mouth)
Skin Texture (smoothness)
Skin Softness
Overall Improvement of Skin
4.
Would you use this product again?
Yes
Yes
No
No
5.
Would you recommend this product to a friend?
Yes
Yes
No
No
6.
Since using Vitacreme B12 has anyone commented on your skin or overall appearance?
yes
yes
no
no
7.
If you answered yes to question #6 what was said?
350 characters left.
8.
Additional Comments or Questions
500 characters left.
And go to www.VitacremeB12-usa.com
3.