Nootropic Supplement Feedback Survey
Help us improve by sharing your experience with your nootropic supplement.
Which nootropic supplement are you providing feedback on?
*
How long have you been using this supplement?
*
Please Select
Less than 1 week
1–4 weeks
1–3 months
3–6 months
Over 6 months
What is your typical daily dosage?
*
Please Select
Below recommended dose
Recommended dose
Above recommended dose
Not sure
How often do you take this supplement?
*
Daily
A few times a week
Weekly
Occasionally
What benefits have you noticed since starting this supplement? (Select all that apply)
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Improved focus
Better memory
Increased motivation
Reduced mental fatigue
No noticeable benefits
Other
Have you experienced any side effects?
*
No side effects
Mild side effects
Moderate side effects
Severe side effects
Please describe any side effects you have experienced.
How satisfied are you with the results of this supplement?
*
1
2
3
4
5
How likely are you to recommend this supplement to others?
*
Not likely at all
1
2
3
4
5
6
7
8
9
Extremely likely
10
1 is Not likely at all, 10 is Extremely likely
Please rate the following aspects of your experience.
*
Rows
Excellent
Good
Average
Poor
Effectiveness
1
2
3
4
Ease of use
5
6
7
8
Value for money
9
10
11
12
Taste/Palatability
13
14
15
16
Please share any additional comments or suggestions.
What is your age group?
*
Please Select
Under 18
18–24
25–34
35–44
45–54
55–64
65 or older
Gender
Female
Male
Non-binary
Prefer not to say
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