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Did you try the {{hidden_brand}} {{hidden_format}} you received {{hidden_delivery}}? *

Are you planning to try the {{hidden_brand}} {{hidden_format}} within the next 30 days? *

Before receiving the {{hidden_brand}} {{hidden_format}}, how likely were you to purchase {{hidden_brand}}? *

Since receiving the {{hidden_brand}} {{hidden_format}} how likely are you to purchase {{hidden_brand}} ? *

Since receiving the {{hidden_brand}} {{hidden_format}}  {{hidden_delivery}}, have you already purchased the product? *

Do you plan on purchasing the product in the next 30 days? *

Have you shared your experience since receiving the {{hidden_brand}} {{hidden_format}}? *

In which ways have you shared your experience? *


Which form of advertising has the greatest influence on your purchase decisions? *

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How would you rate this product? *

Additional comments: *

Full Name: *

May we send you future updates about this product? *

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