Customer questionnaire

Thank you for your interest in our free pain relief offers.

As you would imagine, we get a large volume of requests for free products and are keen to learn more about our customers to help shape what we offer in the future. Please kindly complete the questions below about your pain relief requirements to help us. Once you click submit, you will be taken through to the product page to claim your free pain relief product, paying only £4.95 P&P

Name: (Required)
Email Address: (Required)
Year of Birth: (Required)

Do you suffer with any of the following pain conditions? Check all the boxes that apply.

Arthritis Joint Pain
Back Pain Sciatica
Neuralgia Migraine
Muscle Strain

Whereabouts are your main areas of pain?

Top of back/shoulders Lower Back
Joints Hands/Feet
Head/Face Stomach
Some Limbs All Limbs

Have you tried any of the following types of pain relief products in the last year?

Magnetic therapy Joint Supplements
TENS machines Joint supports
Infra red/Ultrasound devices Acupuncture
Reflexology Topical creams/gels

So that we may help you further, do you any of the other health conditions below apply to you?

Asthma Allergies Snoring Diabetes Poor Circulation


We take your privacy very seriously. This information is solely for the use of Free Pain Relief and will not be passed on to any third parties.
Once you click the submit button you will be taken through to claim your free pain relief product.