Welcome to our survey!

What is your name?

This field is mandatory, You must enter a response in order to proceed.

Please tell us your age.

This field is mandatory, You must enter a response in order to proceed.

Please tell us your e-mail address.

This field is mandatory, Put correct e-mail here

How did you hear about My Therapy Buddy?

This field is mandatory, You must enter a response in order to proceed.

  • Online
  • On NBC's American Inventor TV Show
  • Through a friend
  • Newspaper
  •  Other  

Have you purchased or do you own a My Therapy Buddy?

This field is mandatory, You must enter a response in order to proceed.

  • Yes.
  • No.
  • I purchased My Therapy Buddy as a gift.
  • Maybe someday I will have a My Therapy Buddy.

What do you think about the My Therapy Buddy product?

Please rate from 1 to 5 stars. 5 stars being the highest rating.

This field is mandatory, You must enter a response in order to proceed.

   1 star  2 star  3 star  4 star  5 star 
MTB Product Quality           
MTB Product Usefulness           
MTB Product Function           
Your Happiness with the product           

Do you have any friends or family who might enjoy receiving the MTB newsletter?

E-mail address 1

Put correct e-mail here

E-mail Address 2

Put correct e-mail here

E-mail Address 3

Put correct e-mail here

My Therapy Buddy would like to thank you very much for taking our survey. Your responces will help us to improove our products. The infomation you provide will only be use by My Therapy Buddy.

If you have anything else you would like to say please use the box below to add your comments. Again, Thank you.

This field is mandatory, You must enter a response in order to proceed.

Page 1 of 1

Powered By GroupSurveys