Faithful Soles - Feedback Form

Please tell us what you think about our web site and a little bit about yourself. Faithful Soles welcomes your input.

Items with a * are required.

1. *What kind of comment would you like to send?

 Suggestion   Praise   Complaint   Problem

2. *What about us do you want to comment on?

 

3. *Enter your comments in the space provided below:

 

4. Please let us know how to get in touch with you:

*First and Last Name (Initials are fine):  
*Email:  

The remaining items below are optional, but it will help us greatly to know a bit more about the readers and visitors to our site to help make it more beneficial for all.

5.Female   Male  

6. Age:19 and Under  20-29   30-39   40-49   50-59   60-69   70-79   80+

7.Which of the following best classifies you:

Walker   Racewalker   Jogger   Runner   Wheelchair Athlete   Mobility-Impaired

8. In the space below, please tell us what your primary goal is right now in your training:

9. Please check here if we may use your name (we will use only your first name and the initial of your last name) and comments above on our web site.

*10. Please type the word "FAITH" in the box provided so we will know this is from an actual person: 


Copyright © 2008 by Faithful Soles. All rights reserved.
Revised: 05/19/08.