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Testing opportunity for chemical free insect killer
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Email Address
(Required.)
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4.
What State do you reside in?
(Required.)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia (DC)
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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5.
Gender
(Required.)
Male
Female
Other
Prefer not to say
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6.
Do you currently have any issues with the following in your home? Select all that apply.
(Required.)
Ants
Flies
Roaches
Spiders
Silverfish
Fleas
Mosquitoes
Ticks
Yellow Jackets
Wasps
Hornets
Not Applicable
Other (please specify)
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7.
Do you currently use any of the following products to deter household insects and pests? Please select all that apply.
(Required.)
Ultrasonic Pest Repellents
Insect Spray Repellents
Insect Traps
UV Light Traps
Citronella
Peppermint Oil
Tea Tree Oil
Fabric Softener Sheets
Not Applicable
Other (please specify)
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8.
Are you interested in testing a multi-insect spray is effective against a variety of common household insects
(Required.)
Yes
No
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9.
If selected for this testing opportunity, are you willing to provide us with a detailed evaluation and video review with testimonial about your experience with the product?
(Required.)
Yes
No
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10.
Are you a PTPA Member? Remember, only members with completed profiles are selected for testing opportunities.
(Required.)
Yes
No
Thank you for completing our survey! If selected to participate you will receive an emailing confirming the opportunity. Please ensure your profile on ptpa.com is complete in order to qualify for this opportunity.
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