First Name:

Last Name:

Date:

E mail :

Phone:

Address:

Currenty expecting a child: -- yes no

I am aware that children have died in cars as a result of being left unattended. -- yes no

I am aware that small children should never be left unattended in a car -- yes no

Below is a list of possible product features for a car seat alarm system.  Please check all features that you feel would be beneficial.

A temperature sensor that would alert the driver to dangerously hot or cold conditions.

An additional, louder alarm that would alert a potential passer-by if the baby were unattended in the car.

An alarm that would sound if the child got himself out of the car seat while the car was in motion.

A device that would call my cell phone if the child was unattended or in a dangerously hot or cold car, and the driver (other than myself) had not responded.

A device that would also contact 911 in the same situation as above

A device that would provide GPS positioning, telling me where my child is if unattended or in a dangerous situation.

A device that would work with my car’s existing On-Star System.

A device that would work with my car’s existing Lo-Jack system.

Other features that I think would be helpful:

Would prefer a car seat with these features built in.   -- yes no

Would prefer to install the system in an existing car seat. -- yes no

N/A I would not buy.

The most I would be willing to pay for a car seat with these features is:
$

The most I would be willing to pay for a system that I could install is:
$

The reasons that I would purchase this product are (check all that apply):

It would give me peace of mind when someone other than myself would transport my child.

I believe that anyone can make a mistake, and I would prefer to always have a back-up reminder.

I don’t always know if the temperature is safe for my child, and would like to be certain.

I would purchase any product (within reason) that would keep my baby safer.

We lead a hectic life, and it would make sense for us to have this.

I like the idea of applying modern technology to issues that I care about.

It seems that it would be easy to use.

I would purchase it as a gift for someone else.

Other reasons that I would purchase this product:

What would you suggest as good ways to reach people like you that may be interested in this product (magazines, websites, etc.):