GREENWAYS HEALTHCARE PVT LTD - ALL PRODUCTS TESTIMONIAL FORM
  Full Name *  
  Date  
  Sex        Age
  Address
  D No or H No
  Lane    
  Street
  City / Town
  State  
  Phone No.   Residence    Office   
  Mobile No.       Occupation
-> Which Greenways healthcare Product you taking/using?
-> Reason for taking/using Greenways Healthcare product?
General Health Radiation Backache Body Pain
Activeness Growth (Physical/mental) Obesity Blood Pressure
Heart Problems Weight Loss Cancer Food supplement
Medical Disorder Digestive Complaints Diabetes Arthristis
Weight management Hair Fall Skin Problem
-> For how long you are facing this problem? What were some of the treatment you tried before? How effective are they ?
    
-> For How much period have you been taking/using this product ? Months
-> How much is the quantity of this product you taking or how many times in a Day you use this product ?  ml  times per day
-> Have you found any improvement after starting to use this product ? Yes    No
-> Please Describe the nature of improvement
    
-> within how much time period you found the improvement, after starting this product ?   Days
-> How much are you satisfied with the improvement ?
Not satisfied Not quite satisfied Somewhat satisfied Very much  satisfied
-> Would you like to continue this product ? Yes  No
-> Would you like to recommended our products ? Yes   No
   If yes, please enter details
  Name : Mail ID : Mobile No :
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