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The Remedy Lab - Gluten Response Supplement Test #1010

INSTRUCTIONS

Thanks for agreeing to participate in The Remedy Lab Consumer Test #1. We really appreciate it. This survey is an integral part of the test, and we will use this information to continue to refine and develop this and future The Remedy Lab all-natural nutritional supplements. Please answer all the survey questions.

PLEASE NOTE: Make sure that you follow the instructions to REST for at least 20 minutes after taking The Remedy Lab Gluten Response nutritional supplement. Resting helps ensure that your body is most receptive to the combination of ingredients in the supplement.

THANK YOU!

Shannon and Pam

Co-Founders, The Remedy Lab
1. Do you normally have an adverse reaction when exposed to gluten?  *This question is required.
2. Do you believe you were exposed to gluten before taking the supplement? *This question is required.
3. Did you experience symptoms that you associate with exposure to gluten? *This question is required.
6. What are the three most severe symptom(s) you experienced due to this gluten exposure? Please drag and drop the top three. If you did not experience symptoms, but took a dose of the supplement because you knew or suspected that you'd been exposed to gluten, please drag and drop "None."  *This question is required. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.
7. How much relief did you obtain for the top three symptoms you identified in question 3? *This question is required.
9. Which symptom(s) lasted longest? Please drag and drop the top three. If you did not experience symptoms, but took a dose of the supplement because you knew or suspected that you'd been exposed to gluten, please drag and drop "None."  *This question is required. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.
10. How long did you rest after taking the supplement? *This question is required.
11. Did you experience any negative reaction to the supplement? *This question is required.
13. Please provide us with your contact information if you'd like to be kept up-to-date on the progress The Remedy Lab Gluten Response supplement and to receive news and other information about The Remedy Lab and future The Remedy Lab products and services.
14. What do you call it when you are exposed to gluten?
Thanks for completing the survey!
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