Name * First Name Last Name Email * If you would like to sign up for the waitlist for when the product becomes available, please select the checkbox below. How frequently do you eat spicy food that causes irritation? * Less than 1 time per week 1 - 4 times per week 5 - 7 times per week 8+ times per week Would you be interested in partaking in a study? * This would involve receiving free SpiceAid capsules, and reporting on your experience when eating with spicy food. Yes No If you selected yes for partaking in the study, please provide your address to ship the capsules to! Address 1 Address 2 City State/Province Zip/Postal Code Country What would you be willing to pay for a bottle of SpiceAid capsules? * Each bottle will contain 20 - 30 capsules, and the direction is to consume 2-3 capsules per spicy meal. $10 - $20 $20 - $30 $30+ How did you hear about us? * Thank you for submitting the form! If you said “yes” to partaking in the study, we will reach out to you shortly!
