Look at the whole survey BEFORE participating.

SECTION 1: "Please check mark all the services for which you employ topical anesthetics."

SECTION 2: When considering the professional services you provide, please specify the one where you typically utilize the greatest amount of topical anesthetics. Kindly mention the brand you use and provide a detailed description of the positive attributes and advantages you associate with this particular brand. After this first brand, you will have the opportunity to optionally input up two 2 more brands.

[Your answer here]

SECTION 3: We plan to launch GEEENCAINE 5 in more than one size. What size(s) would you like to have available?

 

SECTION 4: We are evaluating adding some of the following list of Natural Ingredients. Some are known to have anti-inflammatory properties, some reduce swelling, some increase wound healing and some are natural antibiotics. Please check an option on every line to help us learn if they should or not be part of the GREENCAINE 5 formulation:

 

Optional question:   In addition to Lidocaine and Aloe Vera, which additional ingredients would you recommend for inclusion in the GREENCAINE 5 Lidocaine 5% formula?

[Your answer here]

Optional question: Please share any ideas or suggestions for another product you would like us to develop.

[Your answer here]

Optional question: Would you like that the Greencaine 5 formulation also contain a brightening agent? If you would please elaborate, particularly if you are a CPE.

[Your answer here]