PANEL CONTRIBUTORS "*" indicates required fields earthbath® Pet Panel Application We want to hear from you! earthbath is looking for pet parents and groomers who are interested in providing feedback on products. Please answer the following questions so we can add you to our Pet Panel. We will keep your information on file for future opportunities where we are looking for feedback. Thank you!Email* Your First Name* Your Last Name* Which State do you reside in?* How do you use earthbath products? (check all that apply)* As a consumer / pet parent As a groomer Other: Other: What type of Pet(s) do you have? (check all that apply)* Dog Cat None of the above Please provide more details about your Pet(s) - breed & age* Does your pet have any of the following needs? (check all that apply) Dry Skin Itchy Skin Allergies Smelly Oily Skin Hot Spots Sensitive Skin De-Frizzing De-Tangling Dry Paws or Nose Unwanted Chewing Other: Other: Which earthbath products do you use regularly? (check all that apply)* Shampoo Conditioner Spritz Grooming Foam Grooming Wipes Specialty Wipes - Ear, Eye, Tooth & Gum, Tushy Groomer Size Shampoo or Conditioner (gallons or larger) Other: Other: What are your favorite earthbath products and why?* What new products would you like to see from earthbath?* Approximately how often do you buy earthbath products each year?* 1-2 times 3-6 times 6-12 times At least once per month Approximately how much do spend on earthbath products each year?* Less than $50 $51-100 $101-200 over $200 What is your occupation?* Do you or anyone in your household work in the Pet industry?* Yes No Other: Other: What is your annual household income?* Less than $30,000 $30,001-60,000 60,001-100,000 Over $100,000 I prefer not to answer. NameThis field is for validation purposes and should be left unchanged.