Skip to content
Opinion en
SHARE YOUR EXPERIENCE
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
ABOUT THE PURCHASE
Enter the products batch number
*
The batch number starts with the letter L and is located on the bottom of the box or on the pouch, next to the symbol marked LOT.
Date of purchase
*
Enter the date you purchased the product.
Where did you first hear about PROIBS®?
*
Doctor
Dietitian
Pharmacy
Marketing
Colleague / friend
Do not know / Do not want to answer
Other
Where did you first hear about PROIBS®?
You indicated 'other' as your answer to where you first heard about the product. Please enter in the text box where you first heard about the product.
Where did you purchase PROIBS®?
*
--- Select Choice ---
Online Pharmacy
Physical Store/Pharmacy
Other
Where did you purchase PROIBS®?
You indicated 'other' for the purchase location of the product. Please specify where you bought the product.
ABOUT THE PRODUCT
For how many days have you used PROIBS®?
*
0
1-3
4-7
8-10
11-14
>14 dagar
State the approximate date you started using PROIBS®.
How many sachets/pouches did you use per day?
*
1
2
1-2 (varied)
Other
Please state how many sachets you used during the period, as well as how and when.
You selected 'other' as the answer to the previous question. Please specify your response. Please state how many sachets you used per day and how.
Has the product helped with symptoms related to IBS?
*
YES
NO
DON'T KNOW / PREFER NOT TO SAY
Klicka på ditt val
In what way has the product helped you? Which symptom or symptoms has it improved?
*
Abdominal pain
Bloating
Constipation
Diarrhoea
Other...
Do not know / Do not want to answer
You can choose one or more options.
Please specify how the product has helped.
You chose "other" as the answer to the previous question. Please specify in what way the product has helped.
Has your daily life changed positively since you started using PROIBS®?*
*
YES
NO
DON'T KNOW / PREFER NOT TO SAY
Would you recommend the product to someone else?
*
YES
NO
DON'T KNOW / PREFER NOT TO SAY
Please specify: why would you not recommend the product?
*
What did you think about the following?
Rate from 1 (very poor) to 5 (very good) If you are unsure or prefer not to answer, please skip this question.
Overall product rating
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
The taste
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
Please specify what you found dissatisfying about the taste.
Please specify the negative aspects and how these could have been better addressed.
The packaging
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
Please describe what you didn't like about the packaging itself.
Please specify the negative aspects and how these could have been better addressed.
Product information (on the box and in the information sheet)
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
Please describe what was unsatisfactory about the information on the box and/or the package leaflet.
Please specify the negative aspects and how these could have been better addressed.
Please describe in your own words.
Please describe your experiences with the product.
Is there anything else you would like to share regarding the product?
Please note that we are unable to provide feedback on comments submitted through this form. If you wish to get in touch with us, please use the contact information provided on the product.
Have you tried other products for IBS symptoms?
*
YES
NO
DON'T KNOW / PREFER NOT TO SAY
What other products have you used?
Please name or describe them as best you can; you don’t need to remember the exact names.
ABOUT YOU
Is this the first time you are using PROIBS®?
*
YES
NO
DON'T KNOW / PREFER NOT TO SAY
Please describe in your own words how long you have been using the product.
Gender
*
Woman
Man
DON'T KNOW / PREFER NOT TO SAY
Age
*
Age of the person who used the product
May we contact you to ask further questions?
*
YES
NO
If you answer YES to this question, we will ask for your contact details once more. At least an email address must be provided. Please note that we cannot guarantee that you will be contacted personally.
I understand that safety-related follow-up may be required by law
*
YES
If you report safety-related information in the survey, such as a suspected side effect or other safety-related incident, we may need to contact you to fulfill our obligations under legislation. This applies even if you otherwise decline follow-up questions. You must therefore consent to us contacting you regarding questions concerning safety-related information.
E-mail
*
Phone number
what per Is
I certify that I understand that complaints or reporting of side effects cannot be made through this form according to the information below.
*
YES
This form collects feedback from users regarding the product in aggregated form. Since data is anonymized and aggregated, we cannot handle complaints or side effect reports through this form. To file a complaint about a product or report a side effect, you need to contact the point of purchase, distributor, or manufacturer directly. Please refer to the product information for details on how to do this. For side effect reporting you can also speak to your doctor or pharmacist.
Handling of personal data
*
I consent to the handling of my personal data in accordance with the privacy policy and the description below.
Our processing of personal data is based on our privacy policy, which you can access here: https://opinion.proibs.eu/privacy-policy/. The privacy policy includes information about your rights and how you can withdraw consent for the processing of personal data. The processing of personal data in connection with this form is based on legal requirements, product monitoring, and statistical purposes. We only save your personal data for as long as is necessary to handle any feedback related to product monitoring. Use of anonymized data: I consent to the answers I provide in this survey being used by Alvum Medical / Calmino group AB in aggregated form or as anonymous quotes in the marketing of the product. I am aware that my participation is voluntary and that I can withdraw this consent at any time by contacting the company.
SEND
SELECT YOUR LANGUAGE
en – English
sv – Svenska
