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2014
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Exit Survey
What is your gender?
Male
Felmale
Are you, friend, relative or spouse currently expecting? If so, please specify.
What is the expected due date?
January
February
March
April
May
June
July
August
September
October
November
December
Have you attended a baby shower in the last six months or are you planning on attending a baby shower in the next six months?
Yes
No
Are you or someone in your household serving in the military?
Yes
No
Do you or family members of yours live out of state, or further than day to day visiting distance? If so how far?
Have you missed out on friends or family life events or experiences due to distance? If so, What type of life event?
Have friends or family missed out on a life event you have had due to distance? If so, what type life event?
Do you have access to the internet? If so, on what type of device?
If there was a service that closed the distance between you and the ones you cared about the most during lifes biggest events, would you want to use the service?
Yes
No
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