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Please tell us a little bit about yourself. The more we know the better we will be able to offer you relevant products to test! And, as we state in the
SheSpeaks promise
we will not share your information.
Member Information
First Name
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Last Name
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User Name
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Email
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Confirm Email
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Password
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Confirm Password
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Address
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City
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State
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Select
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Outside US
Zip Code
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Choosing a Username
Please note that your username will be attached to your comments on the message boards. Please choose a user name that you are comfortable with appearing in this area.
For example you may want to choose username
funnygirl
instead of
janesmith
.
(You can always change your user name by clicking on "Edit My Profile" once you've logged onto SheSpeaks.)
About You
Which of the following interests you?
Travel
Cooking
Reading
Fitness
Fashion/Beauty
Food/Wine
Dining Out
Children's Issues/ Children's Products
Family Health Care
Women's Health
Home Design
Gardening
TV Shows
Movies
Music
Pets
Volunteer Work
Sports
Computers/Internet
Electronics
Automobiles
Which of the following products are you most interested in?
Magazines
Books
Clothing
Food or Drink
Online Games
Board Games
Beauty/Hair Care Products
Movies
Technology/Electronics
Children's Products (clothing, food, toys)
Baby Gear (stroller, high chairs etc.)
Household Products
Music/CDs
Pet Products
Television Show Previews
Online Content
Why are you joining SheSpeaks?
*
Select
Want to be heard and influence
Like getting free stuff
Want to connect with other women
Like being "in the know"
A friend suggested that I join
All of the Above
What is your gender?
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Select
Male
Female
Do you have children? Please check all that apply:
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I have children under the age of 6
I have children between the ages of 6 and 12
I have children between the ages of 13 and 18
I have children over the age of 18
I do not have children
I am expecting a baby
I'm planning to have a child in the next 18 months
I consider myself:
Select
Black/African American
Asian/Pacific Islander
White/Caucasian
Hispanic or Latino
Native American/ Alaskan Native
Other
Which describes your household income?
Select
Under $20,000
$20,000-$39,999
$40,000-$59,999
$60,000-$89,999
$90,000-$119,999
$120,000-$149,999
$150,000 +
How old are you?
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Select
Under 18
18-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65 or older
What is your marital status?
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Married/partnered relationship
Single
Divorced
Separated
Widowed
What is the highest level of education you have completed or highest degree you have received?
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Select
Less than High School
Graduated High School
Some College
Graduated College
Master/Doctoral/Other Professional Degree
What is your employment status?
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Employed Full-Time
Employed Part-Time
Homemaker
Retired
Student
Other
None of the above
Are you a small business owner?
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Yes
No
You're almost done!
Just a few more questions...
Other Information
How did you hear about SheSpeaks?
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Friend
Colleague
Search engine
News article/press
Referred by another member
Message board or blog
Other
I agree with the
Terms and Conditions
(note: includes receiving invitation email from SheSpeaks)
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SheSpeaks Newsletter: Please do not send me this email
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