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KA-EX Product Quality Feedback

First Name

Last Name

Company Name

Email address

Which product(s) was affected?

How many items were affected?

Where did you purchase the product?

Approximate purchase date?

Batch or lot number

You can find this printed on:
- The lower end of the bottle, starting with "L" and followed by six digits;
- The bottom part of the box

Best-before date
You can find this right next the batch/lot number.

Is more than one unit from the same batch affected?

A
B
C

What type of issue did you experience?

Please briefly describe the issue:

Did you open or consume the affected product(s)?

A
B
C
D
E

Please upload clear photos of the affected item(s), where possible.
Photos are strongly recommended, as they will help us better understand the issue and review your case.

How would you like us to assist you?
Please select your preferred option. We will review your request and confirm the available resolution after assessing your case.

A
B
C

How would you like to be contacted?

A
B

Please provide your contact details below so our team can follow up with you:

Country / State of residence: