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  1. Surveys
  2. 2016
  3. April
  4. E
  5. ECell
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Questions marked with a * are required Exit Survey
 
 
Would you be interested in this product?
Yes
No
 
 
 
How much would you be able to purchase this product for?
   
 
 
 
* Do you have a family doctor?
 
Yes
 
No
 
 
 
* Do you have medical insurance?
 
Yes
 
No
 
 
 
How much do you make as a net income a year?
 
$30,000
 
Under $20,000
 
Above $30,000
 
I'm unemployed
 
 
 
* Would you purchase the ECell by itself or with the Bluetooth Wristband?
Drag your choices here to rank them
     
     
     
    What is your date of birth?
    MonthDayYear
      
     
     
     
    Would you ask your doctor for a referral for this product?
     
    Yes
     
    No
     
     
     
    Do you suffer from Mental Illness?
     
    Yes
     
    No