Instruction: Determine the sentiment expressed by the user in her review from the provided choices, and respond by selecting one of the available options.

Input:
i felt immediate relief in my elbow that was diagnosed as "golfer's elbow" (and i don't even play golf or tennis!).  i was very pleased with this product.

Options:
A: very positive
B: positive
C: neutral
D: negative
E: very negative
Answer: A: very positive