Nurofen for Children Questionnaire

If you would like to receive a free Nurofen for Children parent's guide to either fever, teething or immunisation complete the form below and make sure you've filled in your full postal address. The leaflets will be sent via post.

* indicates mandatory field

First Name*:

Last Name*:

Email*:

Your date of birth:

Address 1:

Address 2:

Town

Post Code:

Are you currently pregnant?

How many children do you have?

How old was your child when you first used Nurofen for Children?

What have you ever used to treat pain / fever in your child?
(tick as many as you like):

Nurofen for Children
Disprol
Other Paracetamol
Other Ibuprofen

If you would like to receive a free Nurofen for Children parent's guide
to either fever, teething or immunisation just tick the box / boxes below
and make sure you've filled in your full postal address:

A Parent's Guide to Fever
A Parent's Guide to Immunisations
A Parent's Guide to Teething

* Yes I'd like to receive more information and offers from the makers of Nurofen for Children via e-mail or post.

* Please be assured that your details will be used in the strictest of confidence. If you are happy to provide this information please click "Submit" below. Click here to learn about our . By clicking "Send message" button you acknowledge that you have read and agree to the .

Nurofen for Children Questionnaire

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