Feedback Survey (less than 3min)

10 Euston Street

Rydalmere 2116

NSW AU

Tel (61 2) 9638 2000

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

Details :

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

Details :

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?

Comment :

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

Do you authorise us to contact you by email?

Yes