Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. City

Question Title

* 4. State

Question Title

* 5. Email Address

Question Title

* 6. Please tell us the age of your children:

Question Title

* 7. Do you have children who have trouble sleeping?

Question Title

* 8. Do your children take any of the following regularly?

Question Title

* 9. Please tell us what brand you have used:

Question Title

* 10. Do you give your children any of the following to help them sleep?

Question Title

* 11. Are you interested in trying a melatonin product for your child to help them sleep better at night?

Question Title

* 12. 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.

T