Mom and Baby Survey

Mom & Baby Survey Opportunity

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your email address?

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* 4. In what country do you currently reside?

United States

Canada

Other (please specify)

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* 5. Do you currently have any children?

Yes, aged 18 years and older

Yes, aged 10-17 years old

Yes, aged 1-9 years old

Yes, 12 months and under

No children

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* 6. Do you currently use infant formula?

Yes

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* 7. Which of these apply to you?

I'm currently expecting a child

I have an infant 12 months or under

None of the above

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* 8. I would like to participate in the upcoming survey for expecting moms or moms of newborns and understand that I will receive a $20 Gift card once I complete the survey.

Yes

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* 9. I am currently a member of ptpa.com

Yes

The first 1000 people to complete this form will be e-mailed a survey link within a week.
If you start the survey, and qualify and are able to complete the entire survey, you will receive a guaranteed $20 Amazon Gift Card Thanks!