Feedback
1. Which Ashi Pain samples have you tried out on your patients?
(You may consider yourself as a patient if you used Ashi Pain samples on yourself)
Ashi Pain LW
Ashi Acute Pain
Ash Pain BW
Ashi Pain UW
Ashi Pain UM
Ashi Pain BM
Ashi Pain LM
2. What is the average number of times your patients apply the product per day?
2
3
4
More
Not sure
3. Have your patients been able to be consistent in their application of Ashi Pain product?
No
Yes
4. Do your patients feel better within 30 minutes after the application of Ashi Pain product?
No
Yes
No
5. Does Ashi Pain product relieve your patients' pain?
Yes
1 - 3 hrs
4 - 6 hrs
6 - 12 hrs
12- 24 hrs
It seems to be gone!
If yes, for how long?
6. Are your patients comfortable with the consistency, color, smell, rate of absorption?
Yes
*Please note that color and smell of our products can be removed by chemical methods,
but chemical process will change the natural properties of herbs.
No
7. Has your patients sleep been affected either positively or negatively?
No effect
Positively
Nagatively
8. Have your patients experienced any side effects?
No
Yes Please specify
9. Please rate your patients’ pain level using numeric pain scales
:
(0 = no pain, 10 = Excruciating pain)
0
1
2
3
4
5
6
7
8
9
10
0
1
2
3
4
5
6
7
8
9
10
Before using Ashi
Pain products
After using Ashi
Pain products
10. Overall, how satisfied are you with Ashi Research products?
Very satisfied
Neutral
Dissatisfied
Satisfied
11. Would you recommend Ashi Research products and website to your friends or colleagues?
Yes
No
12. What product, service or feature would you like to see Ashi Research offer in the future?
Your Name:
Your e-mail address:
Your phone number:
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. All rights reserved.
