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Herbal Assist Questionnaire

Approximately: 5 minutes to complete

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The following questionnaire is designed to collect some basic information about your experience with the Herbal Assist mixture. The purpose of this study is to determine what, if any, positive or negative effects the mixture had in order to describe its potential strengths or drawbacks to others.

This information may be used to reconfigure the herbal mixture or to promote the product in the future. Although we collect your information for follow-up purposes, your personally identifying information and contact information will never be shared publicly or with a third party.

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