Feedback Survey

Name

Email Address

How interesting are the facts we send out? How interesting are the facts we send out? 3 [Very Interesting] 2 [Somewhat Interesting] 1 [Not interesting]

What type of facts are the most interesting to you?

Do you read the content past the TTF? Do you read the content past the TTF? Yes No

Does this content make you more interested in the TubeClear System? Does this content make you more interested in the TubeClear System? Yes No

Additional Comments

Can we contact you for further questions or clarification on your responses? Can we contact you for further questions or clarification on your responses? Yes No

Can we use your responses for marketing releases to the public? Can we use your responses for marketing releases to the public? Yes No