In an attempt to gather meaningful information on ts-PLUS products please take a few
minutes to answer the following questions. (Please only submit one form per consumer of
ts-PLUS products each quarter (January-March; April-June; July-September;
October-December). The results and comments will be posted on this website on the
Statistics and Testimonials Page. Identities are kept confidential.
1. Which ts-PLUS products have the ts-PLUS product consumer used?
___________________________________________________________________
2. What is/are the ts-PLUS product consumer's diagnosis/diagnoses or suspected
diagnosis/diagnoses?
3. What is the age of the ts-PLUS product consumer?
4. Have you found these products to be helpful?
5. Please rate symptoms in ts-PLUS product consumers now as compared to before
starting product(s) from 3- to 3+ (3- is the most worsened and 3+ is the most improved).
For example: " (your symptom) 2+ " would mean a moderate improvement in this symptom;
and "(your symptom) 2-" would mean a moderate worsening of this symptom.
a. Symptom #1 and rating:
b. Symptom #2 and rating:
c. Symptom #3 and rating:
d. Symptom #4 and rating:
e. Symptom #5 and rating:
6. If you have found ts-PLUS products to be helpful, do you feel that these ts-PLUS
products have been the most effective treatment for your symptoms?
7. How long did it take to see improvement?
8. If the ts-PLUS product consumer discontinued use of the product(s) after 2 months of
improvement in symptoms, please describe how the symptoms were affected.
Please rate symptoms after discontinuation from 3- to 3+ (3- is the most worsened and 3+ is
the most improved). For example: " (your symptom) 2+ " would mean a moderate improvement in this symptom;
9. If this ts-PLUS product consumer (above in question #8) started using the product(s)
again please describe how the symptoms were affected. Please rate symptoms after restarting
from 3- to 3+ (3- is the most worsened and 3+ is the most improved).
10. If you have not found ts-PLUS products to be helpful, did you contact Bontech or your
retailer for adjustment help?
11. If the ts-PLUS product consumer discontinued taking the product(s) please explain
why.
12. How long has the ts-PLUS product consumer been using ts-PLUS products?
13. Where do you purchase ts-PLUS products?
14. Do you have any comments or suggestions concerning ts-PLUS products? If so, please
let us know!
15. Please give the name/initials and address/city of the ts-PLUS product consumer (which will
be kept strictly confidential) for your above responses to be included in the statistical
analysis in order to keep the results valid and to ensure no duplications.