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Expert Parent Product Testing Opportunity
Expert Parent Product Testing Opportunity
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1.
Please provide us with the following information to confirm you are currently a member of PTPA:
(Required.)
Full Name
State/Province
Country
Email Address
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2.
Which of the following best describes your profession?
(Required.)
Pediatrician
Family Physician / General Practitioner
Dermatologist
Allergist
Pharmacist
Toxicologist
Registered Nurse / Nurse Practitioner
Environmental Health Professional
Public Health Professional
Other (please specify)
None of the above
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3.
Are you currently licensed, certified, or accredited in your profession (where applicable)?
(Required.)
Yes
No
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4.
Would you be willing to provide verification of your professional credentials if selected?
(Required.)
Yes
No
5.
Have you dealt with insect or pest issues in your home within the past 12 months?
Yes
No
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6.
Which of the following pests have you encountered in your home? (Select all that apply.)
(Required.)
Ants
Cockroaches
Spiders
Silverfish
House flies
Fruit flies
Gnats
Mosquitoes
None of the above
Other insects
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7.
Have you used any pest-control products within the past 12 months?
(Required.)
Frequently
Occasionally
Rarely
Never
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8.
How important is it that household pest-control products are appropriate for use around families and children when used as directed?
(Required.)
Extremely important
Somewhat important
Not important
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9.
Would you be comfortable testing a household pest-control product and providing detailed feedback based on both your personal experience and professional expertise?
(Required.)
Yes
No
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10.
Would you be willing to provide a written professional testimonial if selected?
(Required.)
Yes
No
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11.
Would you be comfortable with your testimonial being used in social media, brand marketing materials, company websites, and earned media?
(Required.)
Yes
No
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12.
Please briefly describe your professional background, credentials, and area of expertise.
(Required.)
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13.
Why do you feel you would be a good fit for this testing opportunity?
(Required.)
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14.
If additional information is required, may we contact you using the email address associated with your account?
(Required.)
Yes
No
Thank you for completing our survey! If selected to participate you will receive an email confirming the opportunity. Please ensure your profile on ptpa.com is complete in order to qualify for any testing opportunities.
