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* 1. Email Address

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* 3. How did you find out about Bloccs?

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* 4. Who did you buy a Bloccs waterproof protector for?

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* 5. If bought for child how old are they?

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* 6. Which product(s) were used?

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* 7. What will the cover be used for?

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* 8. Which hospital, clinic, doctors surgery or medical centre is currently doing the treatment?

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* 9. Did the hospital, clinic, doctors surgery or medical centre provide you with information about Bloccs?

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* 10. If your healthcare provider did not recommend us, would you suggest we let them know about our brand?

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* 11. If you are in the UK, did you know our covers were available on prescription? (applies to people in the UK only)

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* 12. Would you recommend Bloccs to a friend?

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