Survey Form

Reader Survey

Twin Life is interested in learning about YOU. Please fill out our readership survey, so that we can provide you with articles that meet your needs and interests.

1) I have (check one):	Twins	Triplets	Quads	Quints
2) They are (check one):	Fraternal	Identical
3) Ages (check one):	0-1 year	2-3 yrs	4-5 yrs	6-7 yrs
	8-9 yrs	10-11 yrs	12-15 yrs	16+ yrs
4) Total number of children in my family:
5) I learned about Twin Life from (check one):	friend	magazine	doctor	Internet	News Report
6) Check One of the below: I work full-time outside the home. I work part-time outside the home. I work at home full-time. I work at home part-time. I am a full-time mother/father.			7) I am interested in articles on: (check all that apply) nutrition and health twin psychology child discipline twin and multi-birth pregnancies day care and school adolescent problems marital relationship of parents of twins
8) I would like to receive a subscription to the Twin Life magazine. YES NO

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