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MotherlyInsights Panel registration

1.What gender identification best describes you?(Required.)
2.What is your age?(Required.)
3.Which of the following categories describes you best? Select all that apply.(Required.)
4.How many children are you parent or guardian for?(Required.)
5.What are the ages of each child in your household? Check all that apply.(Required.)
6.In what year was your child/children born? Check all that apply.(Required.)
7.Which of the following best describes your current relationship status?(Required.)
8.What is the highest level of education you have completed?(Required.)
9.Which of the following categories best describes your employment status? Select all that apply.(Required.)
10.What is your household's total, combined annual income?(Required.)
11.Which race/ethnicity best describes you? (Please choose only one.)(Required.)
12.Do you rent or own the place where you live?(Required.)
13.In what country do you live?(Required.)
14.In what state or U.S. territory do you live? If not in the U.S., select "not applicable."(Required.)
15.In what type of community do you live?(Required.)
16.What type of mobile telephone do you primarily use?(Required.)
17.In the past year, which of the following stores have you shopped at for baby related items? Select all that apply. (Required.)
18.When considering buying baby products, which of the following factors is most important to you? (Required.)
19.On average, how often do you travel for pleasure? (Required.)
20.When traveling for pleasure, what type of transportation do you typically use to get there? Select all that apply.(Required.)
21.Do you own or lease your vehicle?(Required.)
22.How do you prefer to shop for baby-related items? (Required.)
23.In order to be registered on the MotherlyInsights Panel, we need to be able to email you future surveys. Please enter your email address below.(Required.)
24.On occasion, some research might be conducted via phone. Would you like to be considered for this additional type of optional involvement? (Required.)
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