How long have you and your partner been together? (if it applies)
0-6 months
6 months to 1 year
1-5 years
5+ years
Do you work part-time or full-time?
Part-time
Full-time
Unemployed
What is your approximate annual family income?
$0 - $24,000
$25,000 - $49,000
$50,000 - $74,000
$75,000 +
What kind of education have you successfully completed?
Elemetary school only
Elementary and secondary only
Elementary, secondary, and post-secondary
Who do you currently live with?
Parents
Friends
Partner
Yourself
What kind of residence do you live in:
Room
1 bedroom apartment
2 bedroom apartment
3 bedroom apartment
Condo/townhouse
House
Check off the things that you are able to do:
Change diapers
Cook
Clean
Wake up through the night for feedings
Bathe a baby
None of the above
What is the reason that you want to have a baby?
To fix a relationship
To trick your partner into staying with you
Because you like kids
Because you want to expand your family, and you think it's time
How long have you and your spouse been considering having a baby?
0-6 months
6months to 1 year
1 year or more
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