Skip to content
Your Experience
1.
How was your online shopping experience?
Easy
Hard
2.
How informative was our website for you?
Very informative
Somewhat informative
Not informative at all
3.
How did you hear about Lubricity?
Online (Google, Yahoo, Bing, Facebook)
Doctor
Dentist
Recommendation (friend, college, family member)
Other (please specify)
4.
Compared to our competitors, are our prices higher, lower of about the same?
Much higher
Somewhat higher
About the same
Somewhat lower
Much lower
5.
How long have you been seeking a reliable dry mouth product?
10+ years
5-10 years
2-4 years
1 year or less
6.
How would you rate the value for your money of Lubricity?
Above average
Average
Below average
Poor
7.
How Likely are you to purchase Lubricity again?
Very Likely
Somewhat likely
Not likely at all
8.
Would you like to be added to our email mailing list to receive coupons & news updates?
yes
no
If yes, please provide the email address you’d like added