PUREFORM Equine Product Questionnaire

As a valued customer, what you have to say is very important to the development of our company and products. This easy questionnaire type form gives us the opportunity to hear from you directly. Please fill in the lines below to the best of your ability.

The breed of your horse:

Age of horse:

Choose one or two of the following equine occupations:

Pasture/RetiredBreeding StallionHunter Jumper
BroodmareDressageTeam Roping
Show JumpingBarrel RacingTiedown Roping
EnduranceTeam PenningThoroughbred Racing
CuttingShow Halter/Under SaddleHarness Racing
Pleasure/TrailsEventingQuarter Horse Racing
Other:

When you call our Toll Free Order line:

a) Are you happy with our customer service operator?

Yes, very helpfulI can't remember
Yes, helpful and knowledgeableNot helpful
It was average service

b) Do you receive your order in a timely manner?

Within 3 daysWithin 7 daysIn more than 7 days

Which of the following PUREFORM Product(s) you would like to tell us about:

How did you hear about this supplement?

FriendSponsored Event PrizeInternet Search on Equine Supplements
MagazineMail CardInternet link from other website

Did your horse like this supplement?

Yes
Not at first
Not at all

Was this product easy to use?

Yes
Not at first
Not at all

How long have you been using this supplement?

1-4 weeks6-12 months
2-6 monthsOver 1 year

Please tell us briefly some of the nutritional or physical issues before using this supplement.

Is this supplement helping with your horses personal needs?

YesNot yet
I think soNot really

Please tell us briefly some of the changes you have seen in your horse after using this supplement?

Mobility Changes:

Attitude Changes:

Physical Changes: (such as hooves, coat, respiratory, recovery)

What changes did you see that you didn’t expect to see?

Have you recommended this supplement to others?

Yes
Not yet but I plan to
No

Other comments you would like to tell us?

Thank you for taking the time to participate and informing us about your individual experiences with our company and products.

May we publish your information on the website or printed advertisement?

Yes you may use my comments to your discretion
Please do not use any information I have forwarded to you in confidence.

Name:
Email:
Country: