Did you notice any form of reaction while taking a drug gotten from us?Kindly fill the form below so we can follow appropriate measures.Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone Number *EmailWhen did you buy the drug? *Name of Drug *How many tablets had you taken before a reaction occured? *Have you taken this drug before? *YesNoWhat reaction did you notice? *How did you get the drug? *Directly from our storeFrom the websiteAny other comments or questions you will like to add?Submit