MotherlyInsights Panel registration Question Title * 1. What gender identification best describes you? Female Male Non-binary Question Title * 2. What is your age? 18 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 59 60 or older Question Title * 3. Which of the following categories describes you best? Select all that apply. I'm planning to be pregnant My spouse/partner is planning to be pregnant I'm currently pregnant My spouse/partner is currently pregnant I'm already a mom I'm a step (bonus!) mom I'm a foster mom I'm already a dad I'm a grandmother I'm a grandfather Other (please specify) Question Title * 4. How many children are you parent or guardian for? 0 1 2 3 4 5 or more Question Title * 5. What are the ages of each child in your household? Check all that apply. Not applicable 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 or older Question Title * 6. In what year was your child/children born? Check all that apply. pre-2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 NA Question Title * 7. Which of the following best describes your current relationship status? Married Widowed Divorced Separated In a domestic partnership or civil union Single, but cohabiting with a significant other Single, never married Question Title * 8. What is the highest level of education you have completed? Some high school Graduated from high school Some college Graduated from college Some graduate school Completed graduate school Question Title * 9. Which of the following categories best describes your employment status? Select all that apply. I'm a stay at home parent I work at the office, full time I work at the office, part time I work from home, full time I work from home, part time I'm on maternity leave I'm unemployed but looking for work I'm retired I'm disabled or unable to work Other (please specify) Question Title * 10. What is your household's total, combined annual income? $0 – 24,999 $25,000 -$44,999 $45,000 -$64,999 $65,000 -$84,999 $85,000 -$99,999 $100,000 -$149,999 $150,000 -$199,999 $200,000 -$299,999 $300,000 -$499,999 Over $500,000 Prefer not to answer Question Title * 11. Which race/ethnicity best describes you? (Please choose only one.) American Indian or Alaska Native Asian Black or African American Native Hawaiian or other Pacific Islander White, Caucasian Hispanic or Latino Multiple ethnicities Prefer not to answer Other (please specify) Question Title * 12. Do you rent or own the place where you live? Own Rent Neither (please specify) Question Title * 13. In what country do you live? United States of America Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia (Plurinational State of) Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte D'Ivoire Croatia Cuba Cyprus Czech Republic Democratic People's Republic of Korea Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea Bissau Guyana Haiti Holy See Honduras Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia (Federated States of) Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Korea Republic of Moldova Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka State of Palestine Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Tajikistan Thailand The former Yugoslav Republic of Macedonia Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom of Great Britain and Northern Ireland United Republic of Tanzania Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Vietnam Yemen Zambia Zimbabwe Question Title * 14. In what state or U.S. territory do you live? If not in the U.S., select "not applicable." Not applicable Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia (DC) Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Question Title * 15. In what type of community do you live? City or urban community Suburban community Rural community Other (please specify) Question Title * 16. What type of mobile telephone do you primarily use? Android iPhone I don't have a mobile phone Other (please specify) Question Title * 17. In the past year, which of the following stores have you shopped at for baby related items? Select all that apply. Target Wal-mart Babies R Us Buy Buy Baby Toys R Us Etsy Amazon Costco Sam's Club Other (please specify) Question Title * 18. When considering buying baby products, which of the following factors is most important to you? Style or design Green or environmental factors Price point Brand reputation Other (please specify) Question Title * 19. On average, how often do you travel for pleasure? Weekly Monthly A few times a year Less than a few times per year Question Title * 20. When traveling for pleasure, what type of transportation do you typically use to get there? Select all that apply. By airplane By train By car By bus Other (please specify) Question Title * 21. Do you own or lease your vehicle? Neither – do not use a car regularly Lease Own Other (please specify) Question Title * 22. How do you prefer to shop for baby-related items? Only in store Mostly in store, but some online Equally in store and online Mostly online, but some in store Only online Question Title * 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. Question Title * 24. On occasion, some research might be conducted via phone. Would you like to be considered for this additional type of optional involvement? Yes, I would like to be invited to take both online and phone-based surveys No, I only want to be invited to take online surveys Done