Mailform

COMMENTS, SUGGESTIONS & SURVEY FORM

*We greatly appreciate your taking the time to send your ideas and suggestions.
If you don't mind, also please answer the few questions that follow so that
we can better understand what type of customers are interested in our concept.
The comments and suggestion section is at the bottom of the page
if you prefer to skip the questions (but please don't!).

THANK YOU VERY MUCH!

A NOTE ABOUT YOUR PRIVACY: We respect your privacy! If you do not want to fill in your name and address... don't! We still value your opinions. If you do provide us your name and contact information, we will not sell it, lend it, or provide it to others. We will inform you when our products are ready for release to the public, if you check the box that requests notification. And if you do request us to notify you of updates, we will do so only when there is real news and you will always be able to remove your name and email from our list. Frankly, that is the way I like my privacy to be treated and I expect you probably feel the same. Now on to your comments...

Your First Name:

Your Last Name:

Mailing Address Line #1:

Mailing Address Line #2:

City:

State:

Country:

Postal Code:

Email Address:

Personal Web site (if any - just for fun!):

Telephone Number: (Including country & city codes)

How would you prefer us to contact you?

DON'T CONTACT ME!
Email
Postal Mail
Telephone

What age group do you fit into?

20 years or younger
21 - 29 years young
30 - 39 years young
40 - 49 years young
50 or more years young

How important is quality to you, especially, how important is it for you to receive an analysis certificate for each bottle of product you purchase?

Not important at all
Somewhat important (it would be nice but I really don't care)
Very important (It would definitely influence my buying decision)

What do you think of our concept of packaging a one year's supply of each supplement to maintain lowest prices? We could assure you that they would remain stable and potent during the year. Please check any answers below that best describe your opinion.

I could not (or would not) purchase a one year's supply of any supplement
I would purchase some of the supplements I take in one year's supply, but only if my savings were substantial!
I would purchase some of the supplements I take in a 6-month's supply, but probably not a year's supply.
I would purchase some of the supplements I take in a 3-month's supply, but probably not a year's supply.
If the savings are there, and I know I am getting the best quality, you bet I would purchase
my supplements in one year's supply bottles! When can I place an order?

And finally, . . . the last question! I hope you stuck with us. (THANKS AGAIN!)

What kind of lifestyle do you lead? (check all that apply ... if you are so inclined)?

Physically Active
Couch Potato
In basically good health
All Work - No Play!
Very Stressed Out
Chronic Bad Health
Take dietary supplements regularly
Thinking about starting a regimen of dietary supplements

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Please enter any specific questions or comments below.

Garuda International, Inc.

P.O. Box 44380 Lemon Cove, CA 93244 U.S.A.
Phone: +1 (559) 594-4380 Fax: +1 (559) 594-4689

Copyright ©2000
Garuda International, Inc.
All Rights Reserved
rev. 09/05/01

Visitor Count since 06/22/00: 5079

YOUR PRODUCT DESCRIPTION	PREFERRED POTENCY (If known)	TABLETS?	CAPSULES?