First Name:
Last Name:
Date:
E mail :
Phone:
Address:
I have viewed the HALO Pet Safety System Movie? If you would like to view the movie now, click here
Are you a pet owner: -- yes no If yes what Pets do you own? Dog Cat Other
Do you transport your pets in your vehicle? -- yes no If yes how often do you travel with your pet? Weekly Monthly Yearly
Are you aware that pets have died as a result of being left in cars? -- yes no
Are you aware that the majority of these deaths were heat related? -- yes no
If there were a device to alert you when your car became dangerously hot for your pet, would you buy it? -- yes no
If yes, what is the highest price you would be willing to pay? $
