$100 for helping me choose a massage chair

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SPECIALS

Let us help you pick a massage chair and give you $100 off of that model.

Please fill out the questionnaire below and we will make a personal recommendation on what chair we think will meet your specific needs, we will also give you $100 toward the purchase of that chair. Fields marked with an astrick * are required.

Your information is kept completely private and will never be sold, traded, exchanged or given to anyone at anytime for any reason.

How tall are you?* User 1: User 2:	What is your Age(s):* User 1: User 2:
What is your weight? * User 1: User 2:	How would you rate your physical condition,* 1 = poor, 10 = excellent User 1: User 2:
What is most important to you in a massage chair? *
Describe what you think the perfect massage would do for you?
What area would you say needs the most massage attention on a regular basis? *	Something else
How often, if ever, do you see a massage therapist or chiropractor?*
Do you or the other user(s) have any medical issues or injuries which the massage chair would be used to help, if so please describe.*
What is your desired strength of massage?*
Have you tried a massage chair before, if so, which one*
What did you like the most about this massage chair?
What did this chair not do for you?
What is your price range*
Full Name:*	Email:*
Address1:	Address2:
City, State, Zip* ,		Telephone:*

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