Product Review Panel Survey

Publications International, Ltd.’s Product Review Panel Sign-Up

We created this page specifically to offer our fans free magazines and books, and the opportunity to join our Product Review Panel.

Please fill out the form below.

1. Please select from the options below that appeal to you and answer a few questions about yourself, including where you’d like us to send your magazines and books.

Please select from the options below that appeal to you and answer a few questions about yourself, including where you’d like us to send your magazines and books. Cake Pops and Mini Treats Digest Magazine (available 9/6/11)

I'm a blogger and I want to join the Product Review Panel (PIL will periodically send free magazines and/or books to you.)**

**Your contact information will be required for receipt of materials. Please enter your information below.

2. About You:

About You: First Name:
Last Name:
Company:
Address:
City:
State:
Zipcode:
Phone:

3. Are you male or female?

Are you male or female? Male

Female

4. Which category below includes your age?

Which category below includes your age? 17 or younger

18-20

21-29

30-39

40-49

50-59

60 or older

5. Are there children in your home with you? Please indicate the number of children within the following age ranges:

Are there children in your home with you? Please indicate the number of children within the following age ranges: birth to 3-years old
3 to 5 years old
6 to 8 years old
9 to 12 years old
12 +

6. Are any members of your household...
(Check all that apply)

Are any members of your household... (Check all that apply) Diabetic

Gluten-sensitve

Nut-sensitive

Lactose-sensitive

Vegetarian

Vegan

Other (please specify)

7. About Your Blog:

About Your Blog: Blog Name
URL
Twitter Username
Facebook Page

8. Which other digital/social media do you use regularly? (Check all that apply)

Which other digital/social media do you use regularly? (Check all that apply) Bebo

Google+

Posterous

Tumblr

Other (please specify)

9. Which of these subjects do you regularly blog about? (Check all that apply)

Which of these subjects do you regularly blog about? (Check all that apply) Family

Food

Home

Meal Planning

Parenting

Recipes

Other (please specify)

10. Can you provide a general estimate concerning your Blog's site metrics?

Can you provide a general estimate concerning your Blog's site metrics? Approximate Monthly number of unique visitors to your Blog?
What is your primary demo/psychographic audience?

11. Any Comments?

Any Comments?

Product Review PanelExit this survey

Publications International, Ltd.’s Product Review Panel Sign-Up

Product Review Panel
Exit this survey