COOL RENEWAL- Physician Survey Question Title * 1. Address Physician Name Clinic Name Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number Question Title * 2. How did you hear about Cool Renewal? Online Search Advertisment Distributor Catalog- Online or Print Distributor Representative Tradeshow/ Meeting Another Cool Renewal Customer Other (please specify) Question Title * 3. How Satisfied are you with the performance of Cool Renewal? Very Satisfied Satisfied Disappointed Question Title * 4. What do you think about the price? Very Affordable Affordable Too Expensive Question Title * 5. Which Applicators do you prefer to use? Foam Tipped Applicators Plastic Isolation Funnels Skin Tag Tweezers Question Title * 6. Which types of skin lesions do you typically treat? Warts Plantar Warts Skin Tags Age Spots/ Keratosis Other (please specify) Question Title * 7. Have you ever used any other types of Cryosurgery Products? Liquid Nitrogen Histofreezer CryoDose Verruca-Freeze CryOmega CryoProbe CryoPen Nitrous Oxide Other (please specify) Question Title * 8. Who is your preferred Medical Supply Distributor? Question Title * 9. Do you have any suggestions for improving our product? Suggestion 1 Suggestion 2 Suggestion 3 Question Title * 10. Nothing speaks louder than personal experience. Please provide a brief testimonial about your experience with Cool Renewal! Done