product testing survey

We value your feedback. Sign up below to participate in any of our product evaluation programs. Ideal for children under four years old.

I am a resident of the United States and consent to Goldbug’s use of the information I will provide in this survey.

First name

Last Name

Address

Address Line 2

City

State

Zip

E-mail

Phone Number

Are you or your partner a first-time parent? Yes No

Are you or your partner currently expecting a child?

Yes No

Anticipated Due Date

Are you or your partner currently nursing? Yes No

Please list the gender and date of birth of your child(ren):

1.

2.

3.

4.

Please consider me for:

Product Reviews

Product Fittings

Focus Groups

Online Surveys

Photo Shoots

Have you previously participated in any of the above programs with goldbug? Yes No

Please note that not all participants are chosen.

Product fittings, Focus Groups, and Photo Shoots usually take place in Denver, CO.

511 16th Street, Suite 400, Denver CO 80202 |
Ph: 303.371.2535 | Toll-free: 800.942.9442