How did you hear about Birth and Beyond? from a friend our website another website internet search engine (if so, which one?) Other (tell us below)
Why do/did you choose to shop with us?
Are their any specific products you wished we carried?
Have you ever used our website (either to gather information or to order from)?
yes
no
Do you ever order pregnancy/baby products online from other websites other than ours?
yes (if so, from what other website?)
What are your favorite informational pregnancy/parenting/baby websites? (non-retailers)
What are the hottest topics on your mind or what do you wish you had more information on (with regard to pregnancy, birth and baby)?
If you “wear” your baby in a baby carrier, what kind of carrier(s) do you use?
Are you happy with your current carrier? Why or why not?
Which best describes your diapering situation?:
cloth (which brand is your favorite)
disposables (which brand is your favorite)
both cloth and disposables
(which brands are your favorite)
Elimination Communication
other (tell us here)
Have you ever used a breast pump? If so which one(s)?
(use "ctrl" to select multiples) Medela Pump in Style Orginal Medela Pump in Style Advanced Medela Swing Medela Harmony Medela Lactina (hospital grade) Medela Symphony (hospital grade) Medela Classic Avent ISIS Hand Pump Avent ISIS UNO Avent ISIS DUO Dr. Brown's Handpump other (please tell us below)
Were/are you satisfied with the results from this pump?
no (if not, why?)
What made you choose that particular pump?
Have you ever purchased, rented or borrowed a breastpump? Choose all that apply.
(use "ctrl" to select multiples) purchased rented borrowed/purchased used
If you bottle feed, what kind of bottles do you use?
(use "ctrl" to select multiples) Avent Dr. Browns (standard system) Dr. Browns (wide neck system) Medela Second Nature Other (please tell us which ones below)
Why did you choose that brand of bottle?
Were/are you happy with that bottle? If so why, if not why?
How many children do you have?
one
two
three or more
Do you belong to any local parenting groups?
yes (if so which ones, and do you like them?)
Would you like to join one?
yes (if yes, what are you looking for from a parenting group?)
(use "ctrl" to select all that apply) class/workshop support group
What radio station do you most commonly listen to?
(use "ctrl" to select multiples) 106.9 103.7 101.5 96.5 92.5 other (please tell us below)
What local and national magazine/newspapers do you read most often?
(use "ctrl" to select multiples) Seattle Times NW Baby and Child ParentMap Parenting Magazine Mothering Magazine other (please tell us below)
What are your favorite activities around town with baby?
What do you wish there was more of around town to do with baby?
What are your non-baby related hobbies/interests?
If you have any difficulty using this form, please email us at info@birthandbeyond.com
