Comfort Ear User Questionnaire

How Long have you been using Comfort Ear™ Natural Moisturizer?

What other preparations have you used?

How have the drops improved your symptoms?

How often do you use the drops?

Would you refer this drop to your friends and family?

Yes
No

What are your likes and dislikes regarding this drop?

Testimonial (optional, but much appreciated)

Name:

Age:

Email:

Ethnicity (optional)

Gender

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Thank you for helping us to improve Comfort Ear™ Natural Moisturizer!
Dr. Yoshpe and Dr. Willner