Patient Satisfaction Survey Question Title Name Question Title Age (years) Question Title Sex Male Female Question Title Which Topical Gear T:25 product did you recently purchase? Ankle Knee Shoulder Question Title How satisfied were you with the information and service you received when purchasing your T:25 product over the phone? Please answer this question by moving the slider to a position on the scale below that rates your customer satisfaction from 'Not at all satisfied' (far left slider position) to 'Very satisfied' (far right slider position). Not at all satisfied Very satisfied Clear i We adjusted the number you entered based on the slider’s scale. Question Title How clear were the instructions explaining how to apply and when to wear your T:25 product? Please answer this question by moving the slider to a position on the scale below that rates your clarity from 'Not at all clear' (far left slider position) to 'Very clear' (far right slider position). Not at all clear Very clear Clear i We adjusted the number you entered based on the slider’s scale. Question Title How many days per week, on average, have you worn your T:25 product? 0 1 2 3 4 5 6 7 Question Title How many hours per day, on average, have you worn your T:25 product? 0 1 2 3 4 5 6 >6 Question Title How is your movement quality now compared to the first day of wearing your T:25 product? Much better Better About the same Worse Much worse Question Title How is your pain now compared to the first day of wearing your T:25 product? Much better Better About the same Worse Much worse Question Title How helpful was the T:25 product with your return to daily activities and/or sports? Extremely helpful Very helpful Somewhat helpful Not so helpful Not at all helpful Question Title Do you have any other comments, questions, or concerns? Question Title In appreciation of your time for completing this survey, Topical Gear LLC is offering a $20 credit towards your next purchase. Please go to www.topicalgear.com and use the code Movement$20 at check out. Done
