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* 1. Contact Details

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* 2. How did you hear about our product, Regelle?

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* 3. Prior to using Regelle, what were your symptoms? (Dryness, pain or discomfort during intercourse etc..)

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* 4. What was the greatest benefit of using Regelle or how did it make you feel?

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* 5. How long was it before you saw an improvement?

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* 6. Would you consider re-purchasing Regelle?

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* 7. Which of these statements do you most agree with

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* 8. Where would you buy regelle?

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* 9. Have you any Additional Comments about Regelle?

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

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