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* 1. Thanks for your purchase! We value your input and appreciate your comments on how to make this Therapy for Memory: Music Activity and Educational Program more beneficial for you.

Once complete, you will receive a $10 dollar coupon code for your next purchase on our website (www.therapyformemory.com)

To begin, please rate your level of agreement with the following questions:

  Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree
I enjoyed listening to the CD
$19.95 was a reasonable price
The CD is a good way to keep the mind active
The volume of the CD was at a good level
Track 2 (Finding the Beat) was enjoyable
Track 3 (Finding the Beat) was enjoyable
Track 4 (Counting the Beat) was enjoyable
Track 5 (Counting the Beat) was enjoyable
Track 6 (Rhythm Exercises with a Shaker) was enjoyable
Track 7 (Rhythm Exercises with a Shaker) was enjoyable
Track 8 (Counting Combination) was enjoyable
Track 9 (Music History) was enjoyable
Track 10 (Music History) was enjoyable
Track 11 (Tranquil sounds) was enjoyable
I am interested is buying the Tranquil Sounds for Sleep CD to be listened to while falling asleep
I am interested in buying the next Volume of the CD
I would recommend this CD to my family or friends

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* 2. WHAT WAS YOUR FAVORITE TRACK? WHAT WAS YOUR LEAST FAVORITE TRACK?

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* 3. WHAT OTHER TYPES OF MUSIC WOULD YOU LIKE TO HEAR ON THE CD?

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* 4. OTHER COMMENTS?

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* 5. What stage of Alzheimer's is this CD best suited? Please check all that apply

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* 6. Which best describes you?

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* 7. How did you hear about our program?

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* 8. Thank you for completing this survey! Enter your name and email address in the box below and continue to the next page to receive your Coupon Code.

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