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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
City
(Required.)
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4.
State
(Required.)
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5.
Email Address
(Required.)
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6.
Please tell us the age of your children:
(Required.)
0 - 24 months
2 - 3 years old
4 - 7 years old
8+ years old
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7.
Do you have children who have trouble sleeping?
(Required.)
Yes
No
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8.
Do your children take any of the following regularly?
(Required.)
Melatonin Gummies or tablets
Antioxidants with Elderberry
Vitamin C
Vitamin D
Vitamin Zinc
Other (please specify)
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9.
Please tell us what brand you have used:
(Required.)
Natrol
Zarbee's
Vicks Pure Zzzs Kidz
LUNA Kids
N/A for my family
Other (please specify)
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10.
Do you give your children any of the following to help them sleep?
(Required.)
Chamomile
Lavender
Lemon Balm
Warm milk
N/A to my family
Other (please specify)
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11.
Are you interested in trying a melatonin product for your child to help them sleep better at night?
(Required.)
Yes
No
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12.
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.
