TrialProgramQuestions

1. Have you recommended walking poles to your patients in the past?

Yes No

2. What do you like about the Activator® Poles? If you have used other types of poles in the past please comment on the differences you have found between those poles and the Activator® Poles, both positive and negative.

3. What patients have you trialed the Activator® Poles/Program with? Ie Parkinson’s, Orthopedics, mitigating falls, cancer etc, etc.

4. What improved outcomes were you able to acertain?

5. What was the feedback of your patients?

6. What was their willingness to purchase the poles?

7. What resources would be most helpful for you to be able to retail the poles moving forward?

7.1 What resources would be most helpful for you to be able to retail the poles moving forward? (feel free to include more options and or give details)

8. What is your feedback on the Activator® course?

8.1 What is your feedback on the Activator® exercises and practice?

9. Were you already aware that the complete Urban Poling line is available through Meyer PT which is a preferred distributor for FYZICAL?

10. If you are interested in a one on one meeting 20 minute meeting to discuss your business and how the Urban Poling program could support your goals with Urban Poling Sales & Marketing Managing Director Diana Oliver please indicate here. A personal meeting request will follow.

Yes, please! No, thanks.

11. Any other comments, questions, concerns feel free to indicate here

Urban Poling Trial Program

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