Blogging Study Survey

Hello and thank you for being a part of the Q-insights database.

We are currently conducting an online diary study which will require you to complete 5 activities,each session will last no more than for 20-30 minutes each day. Upon successful completion you will be compensated $175.

If you are interested in participating, please complete the questionnaire below. If you pre-qualify a recruiter will be in touch with you to ask a few additional qualifying questions.

Thank you

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* 1. What is your gender

Male

Female

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* 2. What is your age?

100

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 3. Which of the following best describes your relationship with your partner or significant other?

I do not have a partner or significant other

Heterosexual relationship

Same-sex relationship

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* 4. Which of the following living situations best describes your household currently?

Living with someone with no children

Single parent living with additional relatives or significant others in the home

Single-living alone

Two parents living with additional relatives or significant others in the home

Living with someone with no children, but pregnant/expecting

Single parent without any other adults in the home

Two parents without any other adults in the home

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* 5. Which of the following living situations further best describe your household currently? Select all that apply.

I do not have any children currently living with me in my household

I have a child/children less than 3 years old currently living with me in my household

I have a child/children between the ages of 3 to 5 currently living with me in my household

I have a child/children over 6 years old, but under 18 currently living with me in my household

I have a child/children over the age of 18 currently living me with me in my household

I do not have any children but I or my spouse/partner is currently pregnant/expecting

I do not have any children

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* 6. If you have a child/children, is he/she or are they currently enrolled in childcare? Please select all that apply for all children.

I do not have any children

Yes, they are enrolled in childcare

No, they are not enrolled in childcare

I have have an in-home nanny/caretaker

I do not work and take care of my child/children myself

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* 7. What type of childcare do you primarily use for your child/children under the age of 6?

A national learning center with multiple centers throughout the US such as Bright Horizons, KinderCare, etc.

A regional independent or franchise learning center such as Primrose, The Goddard School, or a Montessori school

A local daycare (including religious center or family childcare center)

In-home care/nanny

I do not have any children under the age of 6

I do not have any children

Other (please specify)

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* 8. What is your current employment status?

Employed full time

Employed part time

Homemaker/ Stay at home parent

Retired

Student

Unemployed

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* 9. What is your annual household income?

Under $25,000

$25,000 to $39,999

$40,000 to $49,000

$50,000 to $74,999

$75,000 to $99,999

$100,000 to $149,999

$150,000 or more

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* 10. Which of the following best describes your ethnicity?

White

Black

Asian or Pacific Islander

Latino or Hispanic

Native American or Alaska Native

Mixed racial background

Other (please specify)

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* 11. Please fill out the below:

Name & Last Name *

City/Town *

State/Province *

ZIP/Postal Code

Email Address *

Phone Number *