RestoreX Survey

Thank you for purchasing the RestoreX. We routinely send out a customer survey about 1 week after the purchase to receive any input/feedback on how the process went overall and to receive input on how we can further improve.

First Name

Last Name

Email *

What indication did you purchase RestoreX to treat?

Other indication(s)

How did you hear about the RestoreX?

Other methods

Before purchasing, how long were you researching treatment options?

What other treatment options were you considering?

Other treatment methods

How easy was it to purchase RestoreX?

Very DifficultVery Easy

What made purchasing the RestoreX difficult?

Did you feel confident in your decision at the time of purchase?

Not ConfidentVery Confident

What made you feel less confident in your purchase decision?

Did your device arrive in a timely manner?

Yes

When you first opened the box how did you feel?

Please share with us the other feelings you felt as you first opened your RestoreX

Have you contacted customer support?

How would you rate your support experience?

BadGood

What could we have done better?

How confident are you that RestoreX will help improve your condition?

Not confidentVery confident

Are you currently following the recommended treatment schedule?

Yes

Somewhat

Not consistently

Not yet started

What would help you stay consistent?

Select as many options as you'd like

Other form of support

Is there anything else you’d like us to know?