1. What was your overall opinion of Calmol 4®?

Excellent   Very Good   Good   Fair   Poor

2. How did you hear about Calmol 4®?

Doctor   Nurse   Pharmacist   Friend   Other

3. The Calmol 4® ingredients are soothing and lubricating but do not contain an anesthetic, vaso constrictors, or topical steroids.  How important is that to you?

Very Important   Somewhat Important   Not Important  

4. The Calmol 4® shape is unique for easy insertion and better retention compared to other suppositories.  How important is that to you?

Very Important   Somewhat Important   Not Important  

5. Did your hemorrhoids result from pregnancy?

Yes   No  

6. Feel free to add any additional comments:

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