Thank you for your time in filling out this survey.

Please keep in mind that I will be using this information for the purpose of improving my products and services for you. Your information is always confidential and I will not be selling, sharing, or in any way distributing your personal information such as your email and name. You may continue by filling out the form below or go here instead.

Again, thank you for your time.


First Name

Last Name

Your Email Address

Check box if you use copper for health reasons?

Check box if you use magnets for health reasons?

Do you find copper to be
- Helpful
- Not helpful
- Unknown

Do you find magnets to be
- Helpful
- Not helpful
- Unknown

Select your age group

Pleae check all the items you have purchased from me.

Copper Ring

Copper Bracelet

Silver Ring

Silver Bracelet

Gold Ring

Gold Bracelet



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How can I improve my products to better assist you?

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