Feedback Form

Thank you for trying Hemispheres® BumPads™! Your honest feedback is crucial in helping us refine this innovative product. Please take a moment to complete the form below and share your experience. Your input helps us move closer to making BumPads™ available commercially, so everyone who needs them can have access. We truly appreciate your time and support!

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Name

First

Last

Phone Number

What were your reasons for using Hemispheres® BumPads™ (select all that apply)?

Other: Please Describe

Were BumPads™ helpful? (Please describe below)

Helpful: Describe

How many BumPads™ did you use per day?

How often did you change BumPads™?

Did you ever use more than 1 BumPad™ at a time (that is, did you stack them)?

Did using the BumPads™ give you more confidence being in public?

1 of Number

Was sitting more comfortable with the use of BumPads™?

If you had an odor problem, did it improve with the use of BumPads™?

Please provide any recommendations you may have to improve BumPads™.

Feedback Form – BumPads™ Samples

Feedback Form