Application 9 Survey

Application 9 Market Survey

NAME OF SPONSOR COMPANY: PeriphEX Corp.

STUDY ADMINISTRATOR: Disruptive Engagement

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

Name
First Last
Please rate your level of pain after 9 treatments.
No pain Mild pain Moderate pain Extreme pain
If you have relief after using NoxyPure, how long does the relief last?
1-5 hours 6-12 hours 1 day 2-3 days I feel no relief.
Has using NoxyPure fit in with your daily routine?
Is there anything else you would like to share?
Please add any additional thoughts, questions, or feedback you have after your 9th treatment.