We want to get to know YOU!

Take our short survey for the chance to win a $250 invisaWear gift card!

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* 1. What is your gender?

Female

Male

Prefer not to answer, or other

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* 2. How old are you?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 3. Are you a student?

Yes

No

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* 4. What is your occupation?

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* 5. How many invisaWears have you purchased?

0

1

2

3

4

5-10

Other (please specify)

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* 6. How many invisaWears do you own?

0

1

2

3

4

5+

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* 7. Who have you bought an invisaWear for?

Myself

Significant Other

Children

Parent

Grandparent

Friend

Co-worker

Grandchild

Other Relative

Other

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* 8. What do you use invisaWear for?

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* 9. Have you ever had to use your invisaWear? If so, please explain the situation.

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* 10. Please tell us more about yourself. We will be in contact with you if you are one of our winners. Good luck!

Name

State/Province

Email Address

Phone Number