Please fill out the following survey to provide information about parenting to The Gottman Institute.

This survey will take approximately 1-3 minutes to complete. After completion, we will send a 20% discount for our new Bringing Baby Home parenting program! 

*1.What is your age range?(Required.)

25 years and under

26-35 years

36-45 years

46-55 years

56-65 years

66-75 years

76 years and over

*2.How many children do you have?(Required.)

None

One child

Two children

Three or more children

I am/my partner is pregnant with no other children

Other (please specify)

*3.What age group do your child or children fall under? Please check all that apply.(Required.)

Infant (birth to 1 year)

Toddler (1 year to 3 years, 11 months)

Preschool (4 years to 5 years, 11 months)

Elementary School (6 years to 11 years)

Middle School (12 years to 13 years)

Early Teen (14 years to 15 years)

Later Teen (16 years to 18 years)

Young Adult (19 years to 25 years)

Adult (26+ years)

I do not have children

I am currently pregnant

*4.Are you or your partner expecting to become pregnant or add infant to toddler aged children to your family (via surrogate, adoption, etc.) in the near future?(Required.)

Yes

No

*5.Where do you currently get advice on parenting? Select all that apply.(Required.)

Parenting books

YouTube parenting channels

Social media/influencers

Parenting blogs

Advice from family and peers

Therapist, counselor, or clergy

None

Other (please specify)

6.What would you like to learn about parenting from The Gottman Institute? Please describe the type of content that would be most helpful to you (videos, exercises, reading material, etc.) and what you need most as a parent.

*7.Would you be willing to answer more questions about parenting in the future?(Required.)

Yes

No

8.Did you talk with The Gottman Institute at the Zero to Three Conference?

Yes

No

*9.Thank you for completing the survey! Please enter your email address below and we will send you a 20% early bird discount for our upcoming parenting program, Bringing Baby Home! 
Please allow a few days to process. We'll also sign you up for the new Gottman Parents Newsletter so you can be the first to know about exciting upcoming parenting content from The Gottman Institute!(Required.)