CogniUltra Feedback Form Thank you for sharing your feedback on CogniUltra. Your insights help us improve our product and ensure it supports your cognitive health and mental performance effectively. 1. General Information (Optional) Name : Age Group : 18-2930-3940-4950-5960+ How long have you been using CogniUltra? Less than 1 month1-3 months3-6 monthsMore than 6 months How often do you take CogniUltra? DailyA few times a weekOccasionally What were your primary reasons for using CogniUltra? (Select all that apply) Improving memory retentionEnhancing focus and concentrationBoosting mental claritySupporting long-term brain healthReducing brain fogIncreasing mental energy and alertnessOther Have you used other cognitive supplements before trying CogniUltra? YesNo 2. Cognitive Concerns Before Using CogniUltra Please rate the severity of the following concerns before using CogniUltra.(Poor = Not present at all, Excellent = Very severe) Concentrating or staying focused PoorAverageGoodVery GoodExcellent Forgetfulness or memory lapses PoorAverageGoodVery GoodExcellent Mental fatigue or lack of alertness PoorAverageGoodVery GoodExcellent Processing or retaining information PoorAverageGoodVery GoodExcellent Brain fog or mental sluggishness PoorAverageGoodVery GoodExcellent 3. Effectiveness of CogniUltra Please rate how much CogniUltra has helped with the following areas. (Poor = No improvement, Excellent = Significant improvement) Improved focus and attention span PoorAverageGoodVery GoodExcellent Enhanced memory and recall PoorAverageGoodVery GoodExcellent Increased mental clarity and sharpness PoorAverageGoodVery GoodExcellent Reduced brain fog PoorAverageGoodVery GoodExcellent Boosted mental energy and alertness PoorAverageGoodVery GoodExcellent Support for overall cognitive health PoorAverageGoodVery GoodExcellent 4. Additional Questions How soon did you start noticing results with CogniUltra? Within the first week1-2 weeks2-4 weeksMore than a monthI haven’t noticed significant improvement yet Were there any cognitive areas where you did not notice improvement? YesNo Did you experience any side effects while using CogniUltra? YesNo How does CogniUltra compare to other cognitive supplements you’ve tried? BetterAbout the sameWorseI haven’t tried other cognitive supplements 5. Overall Satisfaction How satisfied are you with CogniUltra? Very SatisfiedSatisfiedNeutralUnsatisfiedVery Unsatisfied Would you recommend CogniUltra to others looking to enhance their cognitive health? YesNo 6. Comments or Suggestions Do you have any additional feedback or suggestions to help us improve CogniUltra?
