Risk-Free Trial Request Form

The Zaky® Risk-Free Trial Request Form

Please fill out the form below to request a trial of The Zaky®
Full Name*

First NameLast Name
Professional Credentials
Email*
example@example.com
Organization Name*
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What is your role/title, and how are you involved in infant or pediatric care as it relates to The Zaky®?*
Phone Number*

Country CodeArea CodePhone Number
Which of The Zaky® products are you interested in trialing?*

The Zaky ZAK® - Ergonomic support for safe skin-to-skin (kangaroo) care, breastfeeding, and developmental care for babies weighing 1 to 15 lbs.The Zaky HUG® - Continuous comfort, proprioceptive support, and security, extending the scent and touch of parents.The Zaky APP is a mobile and web application designed to track, analyze, and optimize kangaroo care and other infant care activities. It provides real-time analytics and insights for parents, caregivers, and healthcare professionals to improve kangaroo care implementation, parental engagement, and patient outcomes.Not sure - help me decideOther
How many products would you need for a fair trial?
Please specify how many of each product. For The Zaky HUG we recommend one pair per baby.
What challenges are you hoping to address with The Zaky?*
Be as specific as possible

The Zaky® Risk-Free Trial Request Form