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* 1. Contact Detials

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* 2. Prior to using Relactagel, which of the following symptoms did you experience?

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* 3. Prior to using Relactagel, did you visit a Healthcare Professional for a diagnosis?

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* 4. Prior to using Relactagel did you use any other products for Bacterial Vaginosis?

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* 5. When did you notice that your symptoms reduced, while using Relactagel?

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* 6. Have you experienced any recurring symptoms after completing your treatment with Relactagel?

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* 7. What is your overall impression of Relactagel after using it?

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* 8. Where would you be most likely to purchase Relactagel again?

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* 9. Would you be willing to provide an anonymous testimonial?

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* 10. Have you any additional comments about Relactagel?

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