Stopain

Name *

North Coast Account #

Company Name *

Title *

Email *

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1. HEALTHCARE VENDOR SUPPORT

2. PRODUCT COMPARISON: Stopain® Clinical vs Biofreeze®

Do you believe supporting brands and vendors that actively support the healthcare profession is a noble and worthy cause? *

Yes, absolutelyUnsure, no opinionNo, not my battle to fight

If you find Stopain® Clinical to be equal to or superior to Biofreeze®, would you consider switching brands, knowing that Stopain® continues to prioritize healthcare professionals and has a strong commitment to this channel? *

Yes, absolutelyYes, only if the pricing is advantageousNo, I love Biofreeze® – don’t change what works for me!

3. Stopain® Clinical SAMPLE PREFERENCE

4. BONUS QUESTION: Natural Wellness Product

Which Stopain® Clinical sample would you prefer to receive? *

4 oz Gel Tube3 oz Roll-On4 oz Spray

Considering demand for high-quality natural wellness products, would you try a new pain relief & healing lotion made of medical-grade essential oils, organic herbs, and natural terpenes - backed by evidence of efficacy? The product retails for over $50. *

Yes, absolutely – I’d pay more for proven effectiveness with natural ingredients.Yes, but I’m skeptical – I’d need more information about its effectiveness.Maybe – I’d need to sample it first to evaluate its impact on my patients.No, $50 is too high for my clients.

Open Forum: Tell us what you think

Mailing Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Samples are intended for healthcare professionals only. Biofreeze is a registered trademark of Reckitt Health Pain, LLC.

Stopain® Free Sample Request

Verification

Hand Therapy

Physical Therapy

Occupational Therapy

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