Flatulence Filter Seat Cushions
Last Updated 12/17/07  
Under you. Under cover. Under control.

GasMedic™ Survey

Thank you for visiting our website and for your interest in GasMedic™ flatulence filters by Dairiair®, LLC. Your input is important to us and YOU are the reason we are here. To help serve your needs better and for our product development, please take a couple of secs to fill out the following survey.

1. How did you hear about GasMedic flatulence filters?
T.V. Radio Magazine Friend Other
2. Are you purchasing this product for yourself or a friend?(check all that apply)
Myself Friend
3. What is the underlying reason for purchasing the GasMedic flatulence filter?
Medical Related Social Related Other
4. Please provide prevalent medical or social condition.
5. What can we do to improve our product offering?
6. What is your gender?
Male Female
7. What is your age group?
Under 20 21-30 31-40 41-50 51-60 61-70 over 71

Thank You in advance for your time.

Jim & Sharron Huza
Tel 252 355-8085

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