VCF User Survey

Thank you for visiting the Apothecus Pharmaceutical Website.
We hope we have answered any questions you may have had about pregnancy, contraception, or VCF.


Please feel free to E-mail us with any questions at any time.

We value your feelings concerning VCF and contraception.
By taking the time to fill out this questionnaire, you will help us be more able to focus our products and website to your needs.

Please be assured that any information provided is kept in the strictest of confidence.
After submitting your survey below, provide your name and address and we will be happy to send you valuable product coupons.

Please indicate your age:

Please indicate your marital status:
Ethnic background:
Highest level of education achieved:
How did you first hear about this product?
What newspapers / magazines do you enjoy?
What television shows do you watch?
What kind of radio stations do you listen to?
What is your Internet Home Page?
What is your profession?
Comments or suggestions:

Thank you very much. Your input will enable us to improve both our product and our service.

Advanced Pharmaceuticals and Diagnostics... Through Research

Apothecus Pharmaceutical Corp.
Voice: 800-227-2393 • Fax: 516-624-8201

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