First Name
Last Name
What was the initial reason for your call?
*
Device
Program
Rings
Accessories
What were you feeling when you made the appointment?
*
Confused
Worried
Excited
Angry
Needing Clarification
Ready to quit
Did you receive valuable information that you can apply immediately?
*
Yes
No
How did you feel when we ended our call:
*
Calm
Still Confused
Hopeful
Excited
Worried
Did you learn something new during the call?
*
Yes
No
Additional feedback you would want to tell other men about the process for you so far:
*