Premie Twins
Part Number
Length
1-10
35K
11-20
29K
21-30
43K
31-36
14K
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(The following information requested is optional, though your participation is highly encouraged.)
Name:
Age:
<8
8
9
10
11
12
13
14
15
16
17
18-20
21-25
26-30
31-40
41-50
51-60
>60
I am a/an:
--Please select one--
Young boy (ages 8 and under) who wears diapers
Young boy (ages 8 and under) who does not wear diapers
Preteen boy (ages 9 to 12) who wears diapers
Preteen boy (ages 9 to 12) who does not wear diapers
Teen boy (ages 13 to 17) who wears diapers
Teen boy (ages 13 to 17) who does not wear diapers
Young adult male (ages 18 to 25) who wears diapers
Young adult male (ages 18 to 25) who does not wear diapers
Adult male (ages 26 to 35) who wears diapers
Adult male (ages 26 to 35) who does not wear diapers
Adult male (ages 36 to 45) who wears diapers
Adult male (ages 36 to 45) who does not wear diapers
Adult male (ages 46 to 55) who wears diapers
Adult male (ages 46 to 55) who does not wear diapers
Adult male (ages 55 and over) who wears diapers
Adult male (ages 55 and over) who does not wear diapers
Young girl (ages 8 and under)
Preteen girl (ages 9 to 12)
Preteen girl (ages 13 to 17)
Young adult female (ages 18 to 25)
Adult female (ages 26 to 35)
Adult female (ages 36 to 45)
Adult female (ages 46 to 55)
Adult female (ages 55 and over)
Your diapers
If you are a boy or adult male, select all that apply:
Cloth diapers
Disposable diapers
Multiple underpants
(6+ pairs)
I wear this diaper type:
I wear this diaper type in plain white:
how many of this diaper type I wear at a time:
0
1
2
3
4
5
6
>6
0
1
2
3
4
5
6
>6
0
1
2
3
4
5
6
7-9
10-12
13-15
16-20
21-25
26-30
>30
Are you pantsless at home while in diapers?
Always
Usually
Sometimes
Rarely
Never
I do not wear diapers
I was often in diapers and pantsless as a boy (ages 12 and under)
How do you use your diapers?
Pee
Poop
How many older sisters do you have (boys only)?
None
One
Two
Three
More than three
How many younger sisters do you have? (boys only)
None
One
Two
Three
More than three
If you are a girl or adult female, indicate what your relationship is to the diaper boy who read this story:
--Please select one (leave alone if a boy)--
Younger sister
Older sister
Same-age sister
Younger girl cousin
Older girl cousin
Babysitter
Girlfriend
Wife
Mother
Aunt
Grandmother
Who else in your family has read this story?
Mother
Father
Older Brother
Younger Brother
Older Sister
Younger Sister
Your comments:
Parents' comments:
Brothers' comments:
Sisters' comments:
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