Name
(as in NRIC)
NRIC
DOB
Gender
Email
(Successful participants will be notified via email)
Contact no
Promotion Code
(Please refer to ANDRO® Cream For                                  Men ad for the code)

1.Have you used ANDRO® Cream For Men before?
Yes No

2. Have you used other similar product before?
Yes No

3. If yes, which product?
Others:

4. Before reading this, have you heard about ANDRO® Cream For Men?
Yes No

5. If yes, from where? (You may select more than one medium)

TV
Channel 8 Channel U Channel 5 Cable TV
Channel :
Newspaper
Straits Times Sunday Times Lianhe Zaobao
Shin Min Today Lianhe Wanbao
Magazine
Lifestyle PRIME Men's Health
Others :
Bus
Word-of-mouth
Radio
Others:

6. Did you know that ANDRO® Cream For Men is a product researched, developed and manufactured in Singapore, and is allowed for sale in Singapore over-the-counter (OTC) as a Traditional Medicine?
Yes No

 
All fields must be filled except where Optional is indicated.
 
 
 

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