Exit this survey C-Moms2014-2 1. Fun with demographics 20% of survey complete. Question Title * 1. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older Question Title * 2. What is your relationship status? (Please check all that apply.) single in a relationship engaged/married/civil union divorced separated widowed Other (please specify) Question Title * 3. How many children, by age, currently live in your household? None Still cooking/in utero Less than 1 year old 1 year old 2 years old 3 years old 4 years old 5 years old 6 years old 7 years old 8 years old 9 years old 10 years old 11 years old 12 years old 13 years old 14 years old 15 years old 16 years old 17 years old 18 years old or older Question Title * 4. What is your current situation with childcare? (Please check all that apply to at least 10 hours of childcare during M-F, 9-5.) Stay at Home Parent (me) Stay at Home Parent (my partner) Grandparent(s) Other family member Babysitter/Nanny Nanny share Au Pair Daycare - outside the home Daycare - in someone else's home Daycare at my/my partner's office Yes please Other (please specify) Question Title * 5. If you'd like to, please tell us more about your household (does a grandparent live with you? does your nanny live with you? do you have multiple nannies? etc.) Next
