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OCEAN Complete® Customer Registration Form/Survey
Save $3.00 on your next purchase of OCEAN Complete® Sinus Irrigation.
Complete the following survey and we will email the $3.00 Off Coupon to you for OCEAN Complete® Sinus Irrigation.
*Required information
First Name:*
Please enter your first name.
Last Name:*
Please enter your last name.
Email:*
Please enter a valid email address.
How will you use OCEAN Complete®? (Check most important)
As a spray moisturizer
For nasal irrigation or rinse
Both
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For what conditions will it be used?
Allergies
Congestion
Drug-induced dry nose
Nosebleeds
Oxygen and/or CPAP use
Following ENT surgery
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Where do you prefer to purchase products like OCEAN Complete® and OCEAN® Premium Nasal Saline Spray?
Local retail drugstore
Online drugstore
Discount store
Supermarket
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Describe the person receiving nasal saline therapy? (gender and age)
Male
Female
Less than 5 years old
5 - 12
13 - 20
21 - 34
35 - 45
46 - 55
56 - 65
Over 65
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Where did you first hear about OCEAN Complete® or OCEAN® Premium Saline Nasal Spray?
Web search
Physician
Friend or neighbor
News media
Advertising
Drugstore shelf
Pharmacist
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If you heard about OCEAN Complete® or OCEAN® Premium Saline Nasal Spray from a doctor, what was the physician's specialty?
ENT (Ear, nose, throat)
Allergist
Pediatrician
Family Practitioner
Internal Medicine
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Other Physician Specialty (please specify):
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How frequently do you irrigate or moisten your sinuses?
Once a week
Once every few days
Once a day
Several times a day
Infrequently when needed
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Fleming Pharmaceuticals understands your personal and health information is private. The information you provide will only be used by Fleming and parties acting on its behalf to send you the material you requested.
By checking this box, I also agree that Fleming or companies acting on its behalf may send me future promotional offers and coupons, materials about nasal saline therapy and other health conditions, use my information to develop or improve products and services, or contact me in the future about health-related topics.
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Fleming Pharmaceuticals, St. Louis County, MO. OCEAN® and OCEAN COMPLETE® are registered trademarks of Fleming Pharmaceuticals. Made in the USA.
® 2009 Fleming Pharmaceuticals All rights reserved W106.1