Survey

To begin the survey, please fill in your contact information and click the 'Next' button.
First Name:
Last Name:
E-Mail:

1. Why did you visit the Dermoplast® website?

Looking for product information

Looking for product availability/where to buy

Looking for a coupon

Other (below)

Other:

2. Do you currently use this product?

Yes

No

3. If you replied YES to the question above, which product do you use?

Dermoplast® Burn & Itch (Original Spray)

Dermoplast® First Aid (Antibacterial Spray)

4. Do you use this product for your children?

Yes

No

5. Why do you use Dermoplast® sprays?

Cuts, scrapes, wounds

Sun burn / minor burns

Bug bites

Skin irritations / rashes

Other (below)

Other:

6. Where were you first introduced to this product?

Hospital / child birth

Doctor

Pharmacy

Family / Friend

Other (below)

Other:

7. Based on your experiences with Dermoplast® sprays, would you recommend Dermoplast® sprays to a friend?

Yes

No

8. Why do you use/choose Dermoplast® sprays over other products?

Hospital Strength

No touch spray form

Ingredients

Packaging

Trusted Brand

Price

Hospital / doctor recommended

Pharmacist recommended

9. How long have you been using this product?

6 Months

1 Year

2 Years

More Than 2 Years

10. Do you consider this product a good price value?

Yes

No

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