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BHRT Customer Survey


Please note that all fields followed by an asterisk must be filled in.
First Name*
Last Name*
E-mail Address
City
State/Prov
How long have you been using BHRT?
How did you feel before using BHRT?
How do you feel differently now?
How do you think BHRT has changed your life?
Why would you recommend BHRT to other women?
Is there anything you think the public should know about BHRT?
Any additional comments?

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