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12 Giffard street
Silverwater 2128
New South Wales  Australia
Tel (61 2) 9737 9000, 1300 728 638
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Feedback Survey (less than 3min)

Thank you for your continuous support of Concord’s health products, in order to further improve our products and services; we appreciate your time to complete a simple survey below:

(Please ensure your full name and email address are correct, you will receive 5 FREE Sunchih tea bags for completing the survey. Please fill in all fields.)


User Information

Name : Email Address :

1. How long have you been using Concord products?

 under 6 months
 6 months to 1 year
 1-2 years
 2-3 years
 3 years or more

2. Which products have you purchased from Concord?

 Sunchih 60 capsules
 Sunchih 100 capsules
 Sunchih Premium 60 capsules
 Vita-cordy
 None of the above, please provide comment in question 3

3. Please specify the product here

4 How did you find out about Concord originally?

 Magazines (please specify in question 6)
 Online Search : Google
 Family & Friends
 TCM or Practitioner Recommendation (Please speficy in question 7)
 TVB

Question 4 continued

 Asian radio
 Asian newspaper
 None of the above, please provide comment in question 5

5. Please specify here

6. Please specify the magazine

 Good Health & Medicine
 WellBeing
 Nature & Health
 Cosmopolitan
 TV Week

Question 6 continued

 Take5
 Cleo
 Australia Geographic
 Health Smart
 Slimming & Health

7. If a TCM or Practitioner recommended you, please specify their name:

Practitioner name:
Suburb:

8. How effective are the products?

 1 (Not effective)
 2
 3
 4
 5 (Very effective)

9. Which areas would you like Concord to improve on?

10. Would you like to share your experience about the product (testinomial)?

 Yes
 No

11.You will receive 5 FREE Sunchih tea bags, please confirm your mailing address

Name:
Address:

E-mail communication

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