Breast Pump - March 2019 Free Product Testing Opportunity: Breast Pump Question Title * 1. Please provide us with the following information: Name Address City/State Zip/Postal Code Question Title * 2. Please provide us with your email address: Question Title * 3. Please tell us the age of your children: Under 1 years old 1 - 4 years old 5-9 years old 10+ Question Title * 4. Are you currently nursing your child? Yes No Question Title * 5. Are you currently using a breast pump? Yes No Question Title * 6. What brand of pump do you currently use? Spectra Medela Avent Lansinoh Evenflo Other (please specify) Question Title * 7. What features do you look for when purchasing a breast pump? Please select all that apply. Electric Dual Pumping LCD Display Memory function Ability to use with different bottles Easy to clean Travel friendly Multiple pumping and stimulation levels Other (please specify) Question Title * 8. What brand do you seek when you are purchasing bottles for your child? Please check all that apply. Avent Munchkin Playtex Tommee Tippee Nuk Other (please specify) Question Title * 9. Which of the following bottles do you currently use? Philips AVENT Natural Baby Bottles Nuk Simply Natural Baby Bottles Dr. Brown's Original Baby Bottles MAM Anti-Colic Baby Bottles Munchkin Latch Baby Bottles Question Title * 10. Would you like to be considered for this opportunity? Yes No Question Title * 11. Would you like to be notified of future testing opportunities? Yes No Question Title * 12. Please make me a member of the PTPA community so I can keep getting opportunities to test free products. I understand that I will receive new opportunities via e-mail from PTPA Media Inc. Yes No Question Title * 13. To complete your PTPA registration, you must read and agree to our terms of use. I agree to PTPA's Terms of use Done
