Email Address |
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Name |
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City |
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State |
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What brand and type of mattress do you currently use? |
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How old is your current mattress ? |
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What size is your current mattress ? |
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Do you feel refreshed when you wake up ? |
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Yes
No |
Do you toss and turn a lot while you sleep ? |
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Yes
No |
Do you have any back, neck, hip or shoulder pain when you wake up ? |
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Yes
No |
Do you have any back problems ? |
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Yes
No |
If yes, please explain |
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Do you wake up with any stiffness or aches ? |
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Yes
No |
Have you ever slept at a hotel or someones house and really liked the mattress there? What did you like about it? |
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Who will be using the sleep products that you buy next? |
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What would you like your new mattress to do for you ? |
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What size is your next mattress purchase? |
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How did you hear about us? |
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