Products
° Baby Eczema Cream
° Baby Eczema Wash
° Cradle Cap Care
° Deet-Free Bug Repellent
° Tummy Soother
° Teething Drops

Product Issue Form

We are sorry to hear about any dissatisfaction you may have had with our products. In order to help us provide the best Gentle Naturals ^® products we can, please take a moment to answer a few questions.

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Existing Medical Conditions
* Asthma:	Yes No Decline to Answer
* Diabetes:	Yes No Decline to Answer
* Eczema:	Yes No Decline to Answer
* Glaucoma:	Yes No Decline to Answer
* Heart Disease:	Yes No Decline to Answer
* Melanoma:	Yes No Decline to Answer
* Currently Pregnant:	Yes No Decline to Answer
* Psoriasis:	Yes No Decline to Answer
* Other:	Yes No Decline to Answer
If you answered Yes to any of the questions above, please specify:
Product Information
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(If you answered "Don't know" to any of the above, we will be required to follow up with you for more information.)
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