Please complete the survey by circling your most appropriate response for each comment.
A. The solution was easy to use.
1-Strongly Disagree 2-Disagree 3-Neutral 4- Agree 5-Strongly agree
B. The solution was convenient to use.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly agree
C. I found the solution to be flavorful and acceptable.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly agree
D. The solution did not cause gastric reactions.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly agree
E. The use of the liquid solution improved my oral condition.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly agree
F. I was happier and more confident about my oral health.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly agree
G. I experienced clean, smooth teeth and fresh breath.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly agree
H. The solution improved tooth, gum and oral tissue health.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly agree
I. The solution was more effective than the traditional toothpaste.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly agree
J. The use of the liquid solution and the trial protocol reduced the caregiver’s time to less than five
minutes per brushing.
1-Strongly Disagree 2-Disagree 3-Neutral 4-Agree 5-Strongly agree
Additional Comments:
Name:
®
| Is a Patented product |
| Survey After 4 Weeks |
| The Cloonan Corporation |
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