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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 5. Gender

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* 6. Do you currently have any issues with the following in your home? Select all that apply.

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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.

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* 8. Are you interested in testing a multi-insect spray is effective against a variety of common household insects

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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?

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* 10. Are you a PTPA Member? Remember, only members with completed profiles are selected for testing opportunities.

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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