Laci Le Beau Survey

Your complete satisfaction is important to us. To help us provide you with better nutritional products, please complete this short survey.

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Gender: Female Male

1.	Have you tried Laci Le Beau^® Super Dieter’s Tea^®? Yes No
2.	What would you like to achieve by using Laci Le Beau Super Dieter's Tea? Help with losing weight Help with regulating bowel movements
3.	What products have you regularly used for weight management? Check all that apply. Diet pills Diet drinks Exercise Other
4.	What age group are you? 18-29 30-55 55+
5.	How did you hear about us? Friend Magazine Mail Saw packaging on shelf
Yes, I'd like to receive special offers on Laci Le Beau® Super Dieter's Tea®