NICORETTE® QuickMist Spray Survey

Thank you for letting NICORETTE® be part of your journey to quit smoking! We would appreciate it if you could take 3 minutes of your time to complete this survey to study the level of satisfaction among users after using NICORETTE® QuickMist Spray. To thank you for your participation, you will be rewarded with a $50 Grab Voucher* after completion of the survey!

*Voucher will be rewarded only after verification of purchase and if all questions are completed properly. While stocks last.

PRIVACY NOTICE

With the entrant’s consent, the Organizer will collect and process the entrant’s personal information, including full name, contact number and e-mail address. If the entrant does not provide these details, the entrant will unfortunately be unable to receive the gift upon completion of this form. Subject to some exceptions permitted by law, the entrant may request access to his/her personal information while the Organizer retains it. Reasons why will be given if access is denied. The entrant’s personal information will be securely destroyed once any statutory or other records retention period expires.

By entering this Testimonial Collection, the entrant consents to the processing of his/her personal information as described. The Organizer will process personal information in accordance with its Privacy Policy which entrant may view at https://www.nicorette.com.sg/privacy-policy.

I have read and understood the above privacy notice and give consent for my testimonial to be repurposed for the Organizer’s use

I agree to receive consumer healthcare product information and updates, exclusive offers, product updates, and other marketing and promotional information about the Organizer’s consumer healthcare product range, including but not limited to targeted advertising, sampling efforts, events, and activities, through text/SMS, email, or other media platforms.

By clicking “Next Page” I agree with the above privacy notice and wish to participate in the survey.

QuickMist Survey

PERSONAL DETAILS

Please enter your first name and last name.

If you are not comfortable with it, you may enter an identifier, such as "K Tan".

First name:

Last name:

Please enter your email.

This is a mandatory field as we would send the voucher to the stated email. Please ensure it is a valid email address as we will not be responsible if vouchers do not reach you due to wrong email address provided.

Email address:

PURCHASE DETAILS

When did you first started using NICORETTE® QuickMist Spray?

Please upload your receipt for us to verify your purchase.

Please ensure image shows the whole receipt clearly.

SURVEY QUESTIONS

Q1. How did you hear about NICORETTE® QuickMist Spray? *

You may select more than one option.

For Questions 2 to 7, please select the option that best represents how you feel about your experience using NICORETTE® QuickMist Spray.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Q2. NICORETTE® QuickMist Spray is convenient to carry around.
Q3. NICORETTE® QuickMist Spray is effective in helping me curb my nicotine cravings and withdrawal symptoms.
Q4. NICORETTE® QuickMist Spray is fast to relieve cravings (from 30 seconds).
Q5. NICORETTE® QuickMist Spray is easy to use.
Q6. NICORETTE® QuickMist Spray is value-for-money.
Q7. I am likely to recommend NICORETTE® QuickMist Spray to my friends/family who wish to quit smoking.

For Question 8, please select the option that best represents how you feel about your experience using NICORETTE® QuickMist Spray.

	Very Dissatisfied	Dissatisfied	Neutral	Satisfied	Very Satisfied
Q8. Overall, how satisfied are you with NICORETTE® QuickMist Spray (product efficacy, packaging, usefulness)?