1. How old are you?
A. Under 18 years
B. 20-30 years
C. 30 years or older
2. How old is your partner?
A. Under 18 years
B. 20-30 years
C. 30 years or older
3. How long has your partner been at their current job?
A. Less than 1 year
B. 1-2 years
C. More than 2 years
4. How long have you been at your current job?
A. I am not currently employed
B. 1-2 years
C. More than 2 years
5. In the past, you and your partner have discussed having a child.
A. True
B. False
6. You and your partner live comfortably together on your own.
A. True
B. False
7. What is your annual financial income?
A. Less than $10,000
B. $10, 000 - $50, 000
C. More than $50, 000
8. How long have you been in a serious, committed relationship with your partner?
A. Less than 1 year
B. 1-2 years
C. More than 2 years
9. You have read books or watched movies about parenting.
A. True
B. False
10. How many of the following habits do you or your partner have? Smoking? Drinking (more than 1 alcoholic beverage per day)? Using prescription drugs in a manner in which they weren't prescribed?
A. We have none of these habits
B. We have 1 of these habits
C. We have 2 of these habits
D. We have all of these habits
