1. I Have (check one): Twins Triplets Quadrupletes or Higher

2. They are (check one): FraternalIdentical

3. Ages (check one):

0-11-22-3

3-44-55-6

6-1010-1515-

4. Total number of children in my family: ___

5. I learned about Twin Life from (check one):

a frienda magezine

doctorInternetnews report

6. (check one):

I work full-time outside the home

I work part-time outside the home

I work at home full-time

I work part-time outside the home

I am a full-time mother/father

7. I am interested in articles on (check all that apply):

Nutrition and health

twin psychology

child disclipline

twin and multiple birth pregancies

day care and school

adolescent problems

the marital relationships of parents of twins

8. I would like to recieve a subscription to the Twin Life magezine

YesNo