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50% Discount Survey Form

CalmCream Slide Show

Complete Survey For Free Sample

Write To Karl Loren Table Of Contents

Ayurvedic Herbal MSM  -- Survey #2  -- After Use

This is Survey Form #2 intended to be completed by persons who have already received the free sample of Herbal MSM, or obtained some of this Herbal MSM and wish to contribute to the public information about this new product.

There is an offer of a free sample to those who complete another survey form, located here.  Depending on the date you might request a free sample, there may be some of the original batch still available -- give it a try if you have not already done so.

In any event, if you have purchased Vibrant Life Ayurvedic Herbal MSM, or received the free sample, and not already completed THIS survey form, you are cordially invited to do so.

If you did NOT respond to the first survey form, and did NOT receive the free sample, you can still complete the FIRST survey form, here, and thus become eligible for completing THIS SECOND FORM, and thereby earning a 50% discount on a future purchase as described below.

If we have BOTH survey forms from you, complete, and you have received a free sample of Herbal MSM from us, we will mark your record in our computer that you are eligible for a special one-time discount on one future purchase of Herbal MSM.  The Herbal MSM comes in two packages sizes -- one is a bottle of 300 capsules and the other is a jar of 32 ounces of loose powder. Both of these forms of package have a discount schedule.  You pay the "regular" price for one container, and there is a 25% normal discount when you get four of the same container.

This one-time, special, discount when you have completed both survey forms, is for 50% instead of 25% on either form of Herbal MSM, whether you use this special discount on one bottle/jar or up to four.

Presumably you would not want to take advantage of this discount if you found this product to be unsatisfactory in your first use.  Our experience has been that some number of people do not like the taste of the fresh herbal extraction with the MSM.

The formal launch of Herbal MSM was/is scheduled to be June 25, 2003.  However, the samples were available at an earlier date and we will be honoring sample requests before that date.  The Free Sample Offer will be announced, formally, by Karl Loren's newsletter published on June 25, 2003, but available before then to those who find these pages.  We expect to have more samples available.

Also, Karl has a number of radio interviews planned and thus thousands of new people will be hearing about this new product and the free offer, and discount.

This survey is extensive.  Your answers will help others decide whether or not to use Herbal MSM, what to expect and how to use it.  Note that many of the drugs often used for pain relief are described in detail in a study on pain killers.

We will mark your name in our computer records as eligible for the one-time 50% discount on your first purchase of Herbal MSM.  You must have received the free sample first in order to test and taste it -- so that you know you are willing to use this material.

Complete the survey for one person.  If two or more in the same household or family used the Herbal MSM, please do two or more separate surveys.


  Yes or No.  I received a free sample of Herbal MSM and have used it.  The taste is OK with me.

  Name Required

eMail Required

Address 1 -- Required

Address 2

  City -- Required

  State/Province -- Required

 Country -- Required

 Telephone

 FAX -- Optional


The following questions relate to the primary person who used the Herbal MSM.  If more than one person used the MSM, you may submit a separate form.

  Check For Age of Person Using Herbal MSM

 Male Or Female For The Person Primarily Taking The Herbal MSM


 

Comments On Pain Before Using Herbal MSM


If you have ever used any of these prescription drug pain killers, please place a check next to it.  You may select any number.

No Prescription Drug Pain Killer Ever Used

Celebrex

Arava Imuran

Vioxx

Mobic Humira

Embrel

Remicade Rituximab

Bextra

Prexige Pennsaid
Ultram Lortab  Vicodin
Lorcet Norco Zydone
Vicoprofen Darvon Talwin
Percodan Fiorinal Nubain
Imitrex Sinoral Flamic
Flextra-DS   Buprenorphine Fioricet
CODEINE  FENTANYL  Dilaudid
OxyContin  Demerol   Hydrocodone
     Lodine -- XL

Naproxyn -- The Prescription Form of this Drug  (The non-prescription, "Naproxen" is below.)

 Any other Prescription Drug Pain Killer Used, or comments


 About What Part Of Any Use Of The Above Prescription Drugs was covered by Insurance?


 

Number of CHANGES in Pain Drug Used During Past Two Years

 

Comments On Effectiveness of Previous Prescription Pain Drug Used


Have you used NON-PRESCRIPTION Pain Killers?  Check as many as appropriate.

I have never used ANY Non-Prescription Pain Killer Drug

Aspirin

Tylenol Motrin
Excedrin   Nuprin Acetaminophen
Advil   Nurofen IBUPROPHEN

Naproxen -- The NON-Prescription Form of this Drug  (The prescription drug, "Naproxyn" is above.)

Other non-prescription substances used for pain control, and comments.


Please comment on the type of pain you have had, where that pain is, in your body, how long you have had that pain, and what remedies you have tried to relieve the pain.  Please include your comments on the dosage of various substances you have used and the individual results from any that stand out in your mind.


Please give us a sense of how much money has been spent on various pain killers, both prescription and non-prescription.  If you had insurance coverage for some of these drugs, you can put down your cost for the drug.


As the final question I would appreciate your just writing me a note of how you took the Herbal MSM. How did you find the taste of it?  How often during the day did you take it?  How much did you take each time?  How quickly did you get pain relief?  Did you try dissolving the Herbal MSM in water and sipping it slowly all during the day?  How did that work?  Did you skip the Herbal MSM for a few days and notice that either the pain "came back" or that "the pain did NOT come back."

 

 


The Largest Web Presence For MSM On The Planet -- Home Page
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James Coburn, Oscar Winning Actor -- His Testimonial MSM Prices Personal Experiences & Testimonials
Company And Owner Background Home Page Detailed Product Information
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MSM Research Search This Web Site Table Of Contents

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MSM Remedies Detoxification With MSM
Large Volume Wholesale Purchases Only Dosage Levels Competitive Prices and Packages
TMG Manufacturing Process DMG
Write To Karl Loren -- Click Here -- Karl Loren Promises To Answer You Personally
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