Application 6 Survey

Application 6 Market Survey

NAME OF SPONSOR COMPANY: PeriphEX Corp.

STUDY ADMINISTRATOR: Disruptive Engagement

We hope that you enjoyed your sixth NoxyPure application. Please answer the survey questions below. Thank you.

Name
First Last
Please rate your level of pain after 6 treatments.
No pain Mild pain Moderate pain Extreme pain
Do you find that you are able to do more on your feet after using NoxyPure?
After the 6 treatments, do you feel like your pain has lessened?
If you have relief after treatment, how long does the relief last?
Do you prefer using a gel product, like NoxyPure, over taking a pain relief pill?
Overall, would you recommend NoxyPure to a friend or family member with neuropathy symptoms?
- Yes
- No
Is there anything else you would like to share?
Please add any additional thoughts, questions, or feedback you have after your 6th treatment.