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Prospective BabyBjörn Believers Survey

Please read through the statements below. If you can answer “yes” to the statements, please submit your application to become a BabyBjörn Believer.
		I am a parent. *
		Yes No Please select yes or no.
		I have one or more children ages 0-3, or I am expecting. *
		Yes No Let us know if you are or will be a parent of young children.
		Their birthdates (D/M/Y)? My baby’s due date (D/M/Y)? *
		Please add a value for Their birthdates (D/M/Y)? My baby’s due date (D/M/Y)?.
		Their gender? *
		Please add a value for their gender?.
		I have used BabyBjörn products [check all that apply]: *
		BABYBJÖRN Baby Carrier BABYBJÖRN Potty Chair BABYBJÖRN BabySitter 1-2-3 BABYBJÖRN Travel Crib BABYBJÖRN Soft Bib BABYBJÖRN Plate & Spoon Please select the BabyBjörn products you have used
		I enjoy my BabyBjörn products. *
		Yes No
		I am comfortable speaking with other parents about my BabyBjörn experience. *
		Yes No Invalid Input
		I enjoy discussing issues such as infant-parent bonding, baby wearing, feeding or potty training with other parents. *
		Yes No Please add a value for I enjoy discussing issues such as infant-parent bonding, baby wearing, feeding or potty training with other parents..
		I am active in social networks (online or face-to-face) that include other parents [check all that apply]: *
		Parenting message boards Parenting listservs Online (e.g. Yahoo groups) Neighborhood groups Play groups Volunteer organizations Professional organizations Other Please add a value for I am active in social networks (online or face-to-face) that include other parents.
		I would be willing to recommend BabyBjörn in social networks, both online and face-to-face. *
		Yes No
		I would be willing to report back to BabyBjörn about my discussions on BabyBjörn products.
		Yes No Invalid Input
		(Optional) I would like to share with you some of my personal feelings about BabyBjörn.

		If you have a blog please include the URL here:
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		If you have a Twitter handle and would like to add it to the BabyBjorn Believers Twitter list please enter it here:
		Invalid Input
		Enter your email address: *
		is not a valid e-mail address.
		My name is: *
		Please tell us your name.

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