try bumpads™

Stay Fresh & Fearless

If you’re experiencing any of the symptoms listed on our home page, we’d love to send you free samples. Relief is just around the corner!

Simply fill out the questionnaire below to receive a box of 10 Hemispheres® BumPads™. In return, we ask that you provide honest feedback within seven days of receiving the product.

Your input is important— the more details you share, the faster we can bring BumPads™ to the market for everyone.

Limited Time Offer: This offer is available to the first 100 applicants, so act fast!

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Name
Where the samples will be mailed to.
To qualify, please indicate if you have any of the following problems (mark all that apply:)