Your submission will be added to the testimonials page, to give potential b5 users better information about b5 therapy.
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What is your age?
What is your gender?
Where are you from?
E-mail address? (required)
Do you wish to keep your email address unpublished (private)?
Yes
How would you describe your acne?
Mild
Moderate
Severe
Have you tried b5?
Yes
No
For how long have you used b5? (mark n/a if you've never used b5)
n/a
<1month
1 - 2 months
2 - 3 months
3 - 4 months
4 - 5 months
>6months
What have you used to treat your acne? (choose more than one if necessary)
Nothing
Accutane
Benzoyl Peroxide
Diet
Birth Control
Minocin
Laser treatment/Smooth Beam
Retin A Micro
Ketsugo
Proactive
Fish Oil
Tetracycline
Clindamycin
Detox
Other Vitamin Supplements
Saw Palmetto
Alpha-lipoic Acid
Niacinamide
Gugulipid
Other
If you chose "other" outline below...
Enter other treatments here
If you have used b5, how would you describe your improvement overall?
n/a
no improvement
10% - 20%
20% - 40%
50 - 60%
70% - 80%
80% - 90%
90% - 100%
How far into the treatment did you see noticeable results? (eg 1 week)
Enter time here
Has b5 noticeably decreased your oil production?
Yes
No
Can't Say
If you have used b5, what was/is your daily dosage?
n/a
<1gm
2 - 4gms
4 - 5gms
6 - 8gms
8 - 9gms
10gms
>10gms
What brand and potency of b5 did you use? eg Solgar 500mg (if used several list)
Type here
Please outline any side effects (if any)
Type here
Please type any other info pertinent to your b5 treatment
Type here
How satisfied are you with b5?
n/a
Not Satisfied
Somewhat Satisfied
Can't Say
Satisfied
Very Satisfied
