research sign up First Name*Last Name*Street Address*City*State/Province*NOT APPLICABLEUNITED STATESAL - AlabamaAK - AlaskaAZ - ArizonaAR - ArkansasCA - CaliforniaCO - ColoradoCT - ConnecticutDE - DelawareDC - District of ColumbiaFL - FloridaGA - GeorgiaHI - HawaiiID - IdahoIL - IllinoisIN - IndianaIA - IowaKS - KansasKY - KentuckyLA - LouisianaME - MaineMD - MarylandMA - MassachusettsMI - MichiganMN - MinnesotaMS - MississippiMO - MissouriMT - MontanaNE - NebraskaNV - NevadaNH - New HampshireNJ - New JerseyNM - New MexicoNY - New YorkNC - North CarolinaND - North DakotaOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaPR - Puerto RicoRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVT - VermontVA - VirginiaWA - WashingtonWV - West VirginiaWI - WisconsinWY - WyomingUNITED STATES MILITARYAA - Armed Forces AmericasAE - Armed Forces EuropeAP - Armed Forces PacificCANADIAN PROVINCESAB - AlbertaBC - British ColumbiaMB - ManitobaNB - New BrunswickNF - NewfoundlandNT - Northwest TerritoriesNS - Nova ScotiaNU - NunavutON - OntarioPE - Prince Edward IslandQC - QuebecSK - SaskatchewanYT - YukonZip Code*CountryCanadaEnglandNorthern IrelandScotlandUnited StatesWalesPrimary Phone Number*Email Address*How did you find out about GenSpan?*Friend/Family MemberSocial MediaOB/GYN, Birth Center, Chiropractor, otherHospitalBaby Store (i.e., Buy Buy Baby, etc.)Baby Expo (i.e. Baby Palooza, Prego Expo, etc.)Prenatal Yoga Class (i.e. Bldg7 Yoga, etc.)Other If referred by a friend, please fill in friend’s email addressWhat is your birth year?20072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961What best describes your occupation?Not Employed, Stay at HomeAdministrative, OfficeBusiness, FinancialChild CareSocial ServiceComputer, MathematicalConstruction, Maintenance, RepairEducationEngineering, ArchitectureFood Preparation, ServingHealthLaw Enforcement, Protection, MilitaryManagementMarketing, SalesOther What is your total household income range, before taxes?Under $25,000$25,000-$44,999$45,000-$69,999$70,000-$99,999$100,000-$149,999$150,000-$199,999$200,000+If you are pregnant, please list your baby’s due dateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 12345678910111213141516171819202122232425262728293031 20212022If you have children, please list their birth datesJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 12345678910111213141516171819202122232425262728293031 202120202019201820172016201520142013201220112010200920082007200620052004200320022001JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 12345678910111213141516171819202122232425262728293031 202120202019201820172016201520142013201220112010200920082007200620052004200320022001JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 12345678910111213141516171819202122232425262728293031 202120202019201820172016201520142013201220112010200920082007200620052004200320022001JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 12345678910111213141516171819202122232425262728293031 202120202019201820172016201520142013201220112010200920082007200620052004200320022001Do you know anyone who works for a baby product company (Graco, Chicco, Fisher Price, etc.)?*NoYesCommentsWelcome to the club! As a member of GenSpan Baby Group you may receive occasional invites to get paid to participate in baby gear research. All participation is optional. Check here if you’d also like to receive emails with other fun and friendly communications from GenSpan. (approx. 4/year)