Starell Pharmaceuticals Mask Relief Clinical Trial

1

Thank you for taking part in this survey! Your contribution could help many thousands of healthcare workers and first responders get some relief from extensive PPE use.

Please answer the following questions each day so we can track your progress. All submissions are confidential. We will not share your answers or pictures with anyone without your explicit permission.

Estimated Time: 3 minutes

2

Unique Phone Number* This field is required.Please provide your phone number as a unique identifier so we can track your progress. We will send text reminders occasionally but will NEVER share this information.

Area Code

Phone Number

3

Email* This field is required.Please provide your email address. This field is required so that we may contact you with instructions affecting the trial and your participation in it.

example@example.com

4

SelfiePlease take a picture of the affected area without any PPEs.

5

Type a question* This field is required.How many hours each day do you wear your PPE mask?

8

What other products have you been using (if any) and how would you compare those results to Starell Mask Relief?

9

Did the FDA-approved status of this product increase your willingness to try it?

YESNO

11

Questions & CommentsTell us whatever you like or ask a question to have the answer texted to you by our clinical developers.