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Thank you for choosing GOGO by Therafirm compression products. We value your feedback on how well your GOGO product met your needs. Please take our brief Product Feedback Survey below. Bold fields are required.

First Name:
Last Name:
Address
City:
State:
Zip Code:
E-mail Address
Phone Number:
Are you? Male
Female
Are You? Under 35
36-45
46-55
56-65
66-75
75+
Your annual household income: Under $20,000
$20,001-$39,999
$40,000-$59,999
Over $60,000
1. What Knit-Rite brand did you purchase at this time? If feedback is for a compression product proceed to question #2. If feedback is for SmartKnit, SmartKnitKIDS, or Therasock products please skip to question #7. Therafirm
Core-Spun
TherafirmLight
Core-Sport
GOGO by Therafirm
Preggers by Therafirm
SmartKnit
SmartKnitKIDS
Therasock
2. Have you worn compression hosiery before? Yes
No
3. If yes, what brand?
4. Date of Purchase (MM/YY)
5. Which style did you purchase at this time? Knee
Thigh
Full/Pantyhose
6. What compression level? 10-15mmHg Light Support
15-20mmHg Mild Support
20-30mmHg Moderate Support
30-40mmHg Firm Support
7. Please provided the 11 digit LOT# that is located on the bottom label of the box.
8. Where did you purchase your Knit-Rite product? Medical Supply Shop
Drug Store
Catalog
Internet
Discount Store
Other
9. What caused you to purchase? (Check all that apply) Information at the point of purchase
Referral by a medical professional
Suggestion of a friend/acquaintance
Print advertisement
Information on package
Other
9a. If other, please specify:
10. How many pairs did you purchase? 1
2
3
4
5
Other

11. On a scale of 1 to 10 how would you rate the following:

Quality 1
2
3
4
5
6
7
8
9
10
Fit 1
2
3
4
5
6
7
8
9
10
Comfort 1
2
3
4
5
6
7
8
9
10
Price 1
2
3
4
5
6
7
8
9
10
Overall Satisfaction 1
2
3
4
5
6
7
8
9
10
12. Would you be willing to help us with future projects or in testing new products? Yes
No
13. Comments / Questions:
14. We occasionally send special promos or new product information to customers. Would you like to receive these special offers? Yes
No
15. Please provide your E-Mail Address if you would like to receive promos or new product information.

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