Secure PayPal Checkout
Hang Over by Foy Spa - Dietery Supplement for Hangover Relief
Home PageWhat are Hangovers?How HANG OVER WorksFree Sample
Commercials/PicturesTestimonialsPurchase OnlineContact Us

AVAILABLE EXCLUSIVELY AT:
Bay Harbor Drugs • 1015 Kane Concourse • Bay Harbor, FL 33154
T: 305-397-8319 • F: 305-397-8459
E: BayHarborRx@gmail.com

Pre-HANG OVER Survey

If you have not used HANG OVER before, please fill out the following information and click the "submit survey" button. You will then proceed to a secure Google Checkout page to pay $2.99 for shipping and handling in order to receive your free sample of HANG OVER. Offer valid in the United States only.

* = required field

Your Name*

Mailing Address*

 

 

 

E-Mail Address*

Phone Number

 

Your Age*

Gender*

Male Female

Height

optional

Weight

optional

Ethnicity

optional

 

Are You a Student?*

Yes (please specify school and city) No

 

Are You Employed?*

Yes (please indicate field) No

 

 

How Did You Hear About Us?*

 

How often do you drink?*

One or twice a week Three or more times a week Only on weekends One or twice a month
One or twice a year Every other month Daily

How many drinks do you typically consume in one sitting?*

1-2 2-3 3-4 6+

How often do you get a hangover?*

Never Once or twice a year Rarely Once every few months Once a month
One every couple of weeks Every weekend or more

What are your typical hangover symptoms?*

Check all that apply
Headache Fatigue Dehydration Nausea Diarrhea Increased Heart Rate Loss of Appetite Tremors

What is your hangover severity?*

Mild or none Significant Severe

What do you currently do to alleviate hangovers?*

Check all that apply
Water/juice Tough it out (suffer) Greasy foods Aspirin Advil Sports drinks
Coffee Tylenol Hair of the dog Other

Have you ever tried a commercial hangover product?*

Yes No

If yes, your satisfaction with hangover products?

Very disappointed Somewhat disappointed Satisfied

How do you think your drinking habits would change if you never had to worry about hangovers?*

No change Would drink more often Would drink more (quantity) Would drink less often

Why do you drink?*

Check all that apply
Pure enjoyment Stress relief To lose inhibitions Social acceptance (to fit in)
To relieve depression Never gave it much thought

What is your beverage of choice?*

Check all that apply
Beer Vodka/Martini Wine Mixed drinks Whiskey Shooters Rum Liqueurs Other

After trying HANG OVER, please consider e-mailing us a testimonial! We would love to hear your thoughts about our product.
If you have any comments at this time, please enter them here: