Dr. Mom's Body Butter Beta Test Interest Form
Thank you for being willing to participate in our beta testing for Dr. Mom's Body Butter. We want to share something that's been an amazing help to our family with you. Please answer a few questions, so we can get some of the information we need to have a successful test. 🙂
Why are you interested in becoming a product tester?
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Who do you intend to sample the product on?
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Yourself
Your child/ren
Yourself and your family
A family member
Other
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Who's the Butter For
Which other person do you intend to use the sample on?
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Skin Issues
Do you (or the person you intend to the test the product on) have any skin issues?
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Yes
No
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Please describe your skin issues with as much detail as you feel comfortable providing.
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Contact Info
First Name
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Last Name
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Do you have the ability to provide weekly/monthly product feedback?
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Yes
No
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How old is the person you'll be using the body butter on?
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Under 13
13-18
19-24
25-34
35-44
45-54
55+
Email
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Mobile Phone
How did you hear about us?
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Facebook
Instagram
YouTube
Friend
You've used a Dr. Mom product before
Dr. Bonman/TQ told me
Other
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